Active NPI
Joseph T Kenny, DPT
- Physical Therapist
- Jacksonville, FL
National Provider Identifier
1962875476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 039009-1
- Practice address
- 554 Keily Street
Jacksonville, FL 32212 - Phone
- (757) 953-7550
- Fax
- (757) 953-7560
- NPI assigned
- Nov 5, 2015
- Sex
- Male
- 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 | 039009-1 | NY | Primary |
Addresses
Primary practice location
554 Keily Street
Jacksonville, FL 32212
Mailing address
6000 Highway 98
Pensacola, FL 32512
Phone (850) 452-5638
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 039009-1 | Other | NY | LICENSE# |
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 |
|---|---|---|---|
| 039009-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716422400000",
"number": "1962875476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6000 HIGHWAY 98",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "32512",
"telephone_number": "850-452-5638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "554 KEILY STREET",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32212",
"telephone_number": "757-953-7550",
"fax_number": "757-953-7560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNY",
"first_name": "JOSEPH",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-11-05",
"last_updated": "2024-05-23",
"certification_date": "2024-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "039009-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE#",
"identifier": "039009-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.