Individual provider Active NPI

Heather Kennedy, PT

  • Physical Therapist
  • Sarasota, FL
National Provider Identifier
1902351281
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
31711 Issued in FL
Practice address
6050 Cattleridge Blvd Ste 201
Sarasota, FL 34232-6028
Phone
(941) 365-0655
Fax
(941) 552-7866
NPI assigned
Aug 17, 2016
Last updated
May 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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 31711 FL Primary

Addresses

Primary practice location

6050 Cattleridge Blvd Ste 201
Sarasota, FL 34232-6028

Mailing address

745 Primera Blvd.
Suite 1021
Lake Mary, FL 32746

Other practice location 1

745 Primera Blvd.
Suite 1021
Lake Mary, FL 32746
Phone (407) 732-6926

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190819001423 FL Practitioner - Physical Therapist in Private Practice 7315214988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6050 Cattleridge Blvd
Suite 201
Sarasota, FL 34232-6014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31711FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Saylor Physical Therapy of Lake Mary LLC Physical Therapist CurrentSince May 17, 2017 Accepting new patients

Locations

307 Cranes Roost Blvd
Ste 2040
Altamonte Springs, FL 32701
Phone (407) 807-7129

745 Primera Blvd
Ste 1021
Lake Mary, FL 32746
Phone (330) 283-3008

925 Williston Park Pt
Ste 1001
Lake Mary, FL 32746
Phone (407) 732-6926

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

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": "1471392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1902351281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 PRIMERA BLVD.",
            "address_2": "SUITE 1021",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "32746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6050 CATTLERIDGE BLVD STE 201",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326028",
            "telephone_number": "941-365-0655",
            "fax_number": "941-552-7866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "745 Primera Blvd.",
            "address_2": "Suite 1021",
            "address_purpose": "LOCATION",
            "city": "Lake Mary",
            "state": "FL",
            "postal_code": "32746",
            "country_code": "US",
            "telephone_number": "407-732-6926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "HEATHER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-17",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "31711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.