Skilled Therapy Services Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 13351 Issued in FL

Legal business name

SKILLED THERAPY SERVICES INC

Practice address

3603 Crill Ave
Palatka, FL 32177

Phone

(386) 325-1001

Fax

(386) 325-1199

NPI assigned

Dec 12, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Christopher C Kennedy, RPTNPI 1740955996

Title

President

Phone

(386) 325-1001

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kennedy Rehabilitation Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Outpatient physical therapy / speech pathology certification: CCN 686544

Legal name

KENNEDY REHABILITATION INC

Certification status

Active

Provider type (POS)

Outpatient physical therapy / speech pathology

Participating since

Apr 15, 1998

Last certification

Jan 23, 2025

Ownership / control type

Proprietary

Facility address

3603 Crill Ave
Palatka, FL 32177

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher Kennedy, RPT

  • Physical Therapist
  • Palatka, FL
  • NPI 1740955996
  NPD Authorized official

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

{
    "created_epoch": "1134345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972588069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3603 CRILL AVE",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "32177",
            "telephone_number": "386-325-1001",
            "fax_number": "386-325-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3603 CRILL AVE",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "32177",
            "telephone_number": "386-325-1001",
            "fax_number": "386-325-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKILLED THERAPY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-325-1001",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 13351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Q4V",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kennedy Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert R Silvera, M.D,
• Tara L. Simon, BA
• Gurnoor Singh, MD
• Kaushalendra Kumar Singh, MD
• Genell Elizabeth Singleton, PHARMD
• Sleep Medicine Associates Inc.
• Sleep Medicine Center Inc.
• Jeffrey Reid Slotten, D.D.S.
• Sma Healthcare Inc
• Sma Healthcare Inc

• Physical Therapist in Palatka, FL
• Providers in Palatka, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.