Garrett Bradley Kendall, PT, DPT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

LPT-31176 Issued in AZ

Practice address

2629 E Rose Garden LN
Phoenix, AZ 85050-4605

Phone

(480) 449-9000

NPI assigned

Jul 30, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1972935161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2629 E ROSE GARDEN LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850504605",
            "telephone_number": "480-449-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2629 E ROSE GARDEN LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850504605",
            "telephone_number": "480-449-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 Scarborough Dr",
            "address_purpose": "LOCATION",
            "city": "Greer",
            "state": "SC",
            "postal_code": "296503665",
            "country_code": "US",
            "telephone_number": "864-877-0516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENDALL",
        "first_name": "GARRETT",
        "middle_name": "BRADLEY",
        "name_prefix": "Mr.",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-30",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-31176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Kenady
• Yasmine Salah Kenani, M.D
• Kali Marie Kenar, LPC
• William Kenar
• Arnold L Kendall, M.D.
• Kathryn Kendall, LMFT
• Selena Veneta Kendall
• Christina Kendrick, MD
• Heather Kendrick
• Gracyn Kenelty

• Physical Therapist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.