Individual provider Active NPI

David Michael Kenney, PT, DPT, OCS

  • Physical Therapist
  • Washington, DC
National Provider Identifier
1871804831
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
872263 Issued in DC
Practice address
4001 Brandywine St NW Ste 101
Washington, DC 20016-1876
Phone
(202) 430-5421
Fax
(312) 640-1011
NPI assigned
Jun 24, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070020379 IL
Physical Therapist 225100000X 27055 MD
Physical Therapist 225100000X 2305213700 VA
Physical Therapist 225100000X 872263 DC Primary

Addresses

Primary practice location

4001 Brandywine St NW Ste 101
Washington, DC 20016-1876

Mailing address

4001 Brandywine St NW Ste 101
Washington, DC 20016-1876
Phone (202) 905-5640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, VA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20110104000040 DC Practitioner - Physical Therapist in Private Practice 5496943672 Reassigns benefits to 1 organization
I20191021000552 MD Practitioner - Physical Therapist in Private Practice 5496943672 Reassigns benefits to 2 organizations
I20210121000532 VA Practitioner - Physical Therapist in Private Practice 5496943672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DCPT PLLCGroup PAC ID 9739509977, 7 clinicians

Practice addresses (Care Compare)

20130 Lakeview Ctr PLZ
Suite 400
Ashburn, VA 20147-5905
Phone (202) 905-5640

6931 Arlington Rd
Suite C
Bethesda, MD 20814-5268
Phone (301) 246-2244

Merit-based Incentive Payment System (MIPS)

Final score
73.29 of 100Reported as individual
Quality
46.59
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
872263DCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
DCPT PLLC Physical Therapist CurrentSince Oct 1, 2020 Accepting new patients
DCPT PLLC Physical Therapist CurrentSince Nov 8, 2025 Accepting new patients
Progressive Physical Therapy, LLC Physical Therapist PastSince Dec 6, 2020 Accepting new patients
Progressive Physical Therapy, LLC Physical Therapist Past Accepting new patients

Locations

4001 Brandywine St NW
Ste 101
Washington, DC 20016
Phone (202) 430-5421

1301 Pennsylvania Ave SE
Ste 100
Washington, DC 20003
Phone (202) 455-8644

1301 Pennsylvania Ave SE
Washington, DC 20003
Phone (202) 335-7968

6931 Arlington Rd
Ste C
Bethesda, MD 20814
Phone (301) 246-2244

10440 Little Patuxent Pkwy
Ste 300
Columbia, MD 21044
Phone (240) 203-4457

20680 Seneca Meadows Pkwy
Ste 200
Germantown, MD 20876
Phone (240) 608-6000

20130 Lakeview Center Plz
Ste 400
Ashburn, VA 20147
Phone (700) 865-2144

Organizations & group practices 5

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": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1871804831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 BRANDYWINE ST NW STE 101",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200161876",
            "telephone_number": "202-905-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 BRANDYWINE ST NW STE 101",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200161876",
            "telephone_number": "202-430-5421",
            "fax_number": "312-640-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEY",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "credential": "PT, DPT, OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-24",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070020379",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "27055",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305213700",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "872263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; 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.