Individual provider Active NPI

Mikayla Joy Kenney, PT, DPT

  • Physical Therapist
  • Harker Heights, TX
National Provider Identifier
1871193284
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT028757 Issued in PA
Practice address
201 E Central Texas Expy Ste 1170
Harker Heights, TX 76548-2786
Phone
(254) 699-3933
NPI assigned
Oct 27, 2020
Last updated
Sep 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT028757 PA Primary

Addresses

Primary practice location

201 E Central Texas Expy Ste 1170
Harker Heights, TX 76548-2786

Mailing address

514 Bella Rose
Belton, TX 76513-0243
Phone (401) 714-8137

Other practice location 1

11 N 5 Points Rd Ste 2
West Chester, PA 19380-4778
Phone (484) 266-0387

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT028757PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ir Rehab PC CurrentSince Sep 11, 2022 Accepting new patients
Ir Rehab PC PastSince Sep 11, 2022 Accepting new patients

Locations

201 E Central Texas Expy
Ste 1170
Harker Heights, TX 76548
Phone (888) 901-0039

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1871193284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 BELLA ROSE",
            "city": "BELTON",
            "state": "TX",
            "postal_code": "765130243",
            "telephone_number": "401-714-8137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E CENTRAL TEXAS EXPY STE 1170",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765482786",
            "telephone_number": "254-699-3933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 N 5 Points Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "PA",
            "postal_code": "193804778",
            "country_code": "US",
            "telephone_number": "484-266-0387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEY",
        "first_name": "MIKAYLA",
        "middle_name": "JOY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-27",
        "last_updated": "2022-09-07",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT028757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harker Heights, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.