Jesse Kiendl, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT04048 Issued in RI

Practice address

271 S Main St
Providence, RI 02903-2910

Phone

(508) 675-3200

NPI assigned

Aug 28, 2025

Sex

Male

Sole proprietor

No

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

Enrolled in RI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Specht Orthopedic IncGroup PAC ID 8022020478, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Specht Orthopedic, Inc.

  • Physical Therapy Clinic/Center
  • Swansea, MA
  • NPI 1780631259

  Physical Therapist, RI

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1756339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1992684450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 FIRGLADE AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029062623",
            "telephone_number": "802-275-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 S MAIN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029032910",
            "telephone_number": "508-675-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIENDL",
        "first_name": "JESSE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-28",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT04048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Humera Khurshid, MD
• John Paul Kiang, DMD
• Samantha M Kibbe, RNP
• Mindy Michelle Kibbey, PHD
• Donald Kieffer, PHD
• Valerie Kiers, CPNP, RN
• Kiffik Biomedical Inc
• Jacqueline Jackson Kikuchi, PH.D.
• Joseph Kilch, MD
• Laura E Kilcline, MS, RD, LDN

• Physical Therapist in Providence, RI
• Providers in Providence, RI by specialty
• Physical Therapist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; 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.