Individual provider Active NPI

Kyndall Jennings, PT, DPT

  • Physical Therapist
  • Tucson, AZ
National Provider Identifier
1902417496
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1777 W Saint Marys Rd
Tucson, AZ 85745-2687
Phone
(520) 884-9819
Fax
(520) 884-0175
NPI assigned
Aug 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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 Primary

Addresses

Primary practice location

1777 W Saint Marys Rd
Tucson, AZ 85745-2687

Mailing address

1777 W Saint Marys Rd
Tucson, AZ 85745-2687
Phone (520) 884-9819

Other names 1

  • Kyndall King Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201109001935 AZ Practitioner - Physical Therapist in Private Practice 2466862156 Reassigns benefits to 1 organization
I20260610000797 MA Practitioner - Physical Therapist in Private Practice 2466862156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

55 Hadley Rd
Apt 82
Sunderland, MA 01375-9545

PO Box
Philadelphia, PA 19182

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Agility Spine & Sports Physical Therapy and Rehabilitation LP Physical Therapist CurrentSince Aug 10, 2020 Accepting new patients
Agility Spine & Sports Physical Therapy and Rehabilitation LP Physical Therapist Current Accepting new patients
Agility Spine & Sports Physical Therapy & Rehabilitation LP Physical Therapist CurrentSince Aug 10, 2020 Accepting new patients

Locations

1605 E River Rd
Ste 201
Tucson, AZ 85718
Phone (520) 372-2724

10445 N Oracle Rd
Ste 101
Tucson, AZ 85737
Phone (520) 488-1133

2850 N Country Club Rd
Tucson, AZ 85716
Phone 52032262747104

6206 E Pima St
Ste 3
Tucson, AZ 85712
Phone (520) 733-6227

1777 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 884-9819

6264 E Grant Rd
Tucson, AZ 85712
Phone (520) 884-0001

3988 E Fort Lowell Rd
Tucson, AZ 85712
Phone (520) 209-1919

7355 S Houghton Rd
Ste 109
Tucson, AZ 85747
Phone (520) 664-9100

1880 W Orange Grove Rd
Tucson, AZ 85704
Phone (520) 797-2090

8987 E Tanque Verde Rd
Ste 301
Tucson, AZ 85749
Phone (520) 884-4292

1777 W Saint Marys Rd
Ste 121
Tucson, AZ 85745
Phone (520) 884-9819

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1902417496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 W SAINT MARYS RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452687",
            "telephone_number": "520-884-9819",
            "fax_number": "520-884-0175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 W SAINT MARYS RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452687",
            "telephone_number": "520-884-9819",
            "fax_number": "520-884-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "KYNDALL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-10",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYNDALL",
            "last_name": "KING",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.