Kayla Deann Kennedy, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11-04009 Issued in KS

Practice address

3730 N Ridge Rd
Ste 500
Wichita, KS 67205-1227

Phone

(316) 440-4901

Fax

(316) 440-4904

NPI assigned

Jun 3, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced PT LLCGroup PAC ID 3678524709, 84 clinicians

Practice addresses (Care Compare)

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.

• Advanced PT LLC

  • Physical Therapist
  • Wichita, KS
  • NPI 1780616789
  Medicare reassignment Care Compare group NPD
• Advanced PT LLC

  • Physical Therapist
  • Kansas City, KS
  • NPI 1144251232
  NPD
• Advanced PT, LLC

  • Physical Therapist
  • Andover, KS
  • NPI 1619302551
  NPD
• Elite Sports Medicine & Physical Therapy LC

  • Physical Therapy Clinic/Center
  • Leawood, KS
  • NPI 1174699045

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306972800000",
    "number": "1861628067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W DOUGLAS AVE",
            "address_2": "STE 1040",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023013",
            "telephone_number": "316-263-0003",
            "fax_number": "316-263-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3730 N RIDGE RD",
            "address_2": "STE 500",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051227",
            "telephone_number": "316-440-4901",
            "fax_number": "316-440-4904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "KAYLA",
        "middle_name": "DEANN",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-03",
        "last_updated": "2011-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-04009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Kendrick, PT
• Troy Lewis Kendrick Jr., DO
• Ashlynn Kennedy, PTA
• Dennis S Kennedy, LMFT
• Jeri Lyn Kennedy, LSCSW
• Kelli Dawn Kennedy, LSCSW
• Marcia Kennedy, LCP, LSCSW
• Mark Kennedy, ATC
• Susan Lynn Kennedy, M.S. CCC-SLP
• Joshua Michael Kennell

• Physical Therapist in Wichita, KS
• Providers in Wichita, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; 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.