Active NPI
Mikayla Joy Kenney, PT, DPT
- Physical Therapist
- Harker Heights, TX
National Provider Identifier
1871193284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT028757
- 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, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PT028757 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ir Rehab PC | Current | Accepting new patients | |
| Ir Rehab PC | Past | 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.