Carmen Rosa Kennedy, PTA
Individual provider Active NPI Physical Therapy Assistant · Surfside, FL
NPI 1992221733 · NPPES record last updated Aug 14, 2017
Key facts
- NPI
- 1992221733
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 9747 (FL)
- Practice address
- 9057 Garland Ave
Surfside, FL 33154-3217 - Phone
- (786) 316-8826
- NPI assigned
- Aug 14, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9747 | FL | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant |
225200000X | 9747 | FL | Yes |
Addresses
Primary practice location
9057 Garland Ave
Surfside, FL 33154-3217
Mailing address
9057 Garland Ave
Surfside, FL 33154-3217
Other names
- C Rosa Kennedy
Other providers in Surfside, FL
- In Motion PT, Inc.
- Iris Fox LCSW LLC
- Sarit J Itenberg
- Marissa Jade Jacobson
- Judith Kaplan
- Noel E Lastre Mendoza
- Erika Eunice Lawrence Robinson
- Mera Levin
- Jennifer M Lopez
- Lovecareresearch
All providers in Surfside, FL · Physical Therapy Assistant in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.