Audrey J Kennedy, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

18757 Issued in MD

Practice address

1533 Memorial Dr
Oakland, MD 21550-4338

Phone

(301) 334-1123

Fax

(301) 334-1129

NPI assigned

Sep 21, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

At Still University, Arizona School of Dentistry & Oral HLTH, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

1St Choice PT, LLC.Group PAC ID 7315197613, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.51 of 100Reported as individual

Quality

85.09

Improvement activities

40

Cost

84.9

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• 1St Choice PT, LLC

  • Physical Therapist
  • Oakland, MD
  • NPI 1427306588
  Medicare reassignment Care Compare group NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1851490510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 THORNBERRY RD",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215507000",
            "telephone_number": "301-387-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 MEMORIAL DR",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215504338",
            "telephone_number": "301-334-1123",
            "fax_number": "301-334-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "AUDREY",
        "middle_name": "J",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "18757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "54736705",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BCBS",
            "identifier": "0003",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4345383",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0200278000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret A Kaiser, M.D.
• Kalouda Home Therapy
• Amanda Lynn Kamp, CRNP
• Jamie R Kamp, LCSWC
• Christopher Thomas Kelm Jr.
• Chatham Rayne Kennedy, LCSW
• Keralink Eyewear Benefit Corp
• Laura Ann Kessler, OD
• Fatima Khan, LCPC
• Sandra Lee Killian, CRNA

• Physical Therapist in Oakland, MD
• Providers in Oakland, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.