BRENT SHELDON KENNEDY (NPI# 1295855112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295855112 |
| Entity Type | Individual |
| Full Name | BRENT SHELDON KENNEDY |
| Credential | DPT |
| Practice Address |
3715 Woodking Dr Idaho Falls ID 83404-4720 |
| Mailing Address |
2335 Ptarmigan Way Ammon ID 83401-5850 |
| Practice Telephone | 2085292255 |
| Practice Fax Number | 2085292022 |
| Mailing Telephone | 2085525661 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2014-08-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | RPT-1740 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 806757200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174747109 | Brent D Kennedy | Specialist | 5929 Fashion Blvd, Murray, UT 84107-7364 | 2007-04-12 |
| Street Address |
3715 WOODKING DR |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404-4720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093203119 | Abby Lucile Jensen | Physical Medicine & Rehabilitation | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 | 2018-04-24 |
| 1588173959 | Heather Michele Smith | Physical Therapy Assistant | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 | 2017-09-28 |
| 1023531183 | Kliss Moulton | Speech-Language Pathologist | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 | 2017-07-20 |
| 1144743329 | Rachel Maria Barnes | Speech-Language Pathologist | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 | 2017-07-19 |
| 1578083820 | Rebecca Coombs Butikofer | Occupational Therapist | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 | 2017-06-27 |
| 1013392802 | Heidi Maxine Boyle | Occupational Therapist | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 | 2015-07-22 |
| 1194128314 | Susan Hunter | Physical Therapist | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 | 2014-10-01 |
| 1295135028 | Lisa Hong | Occupational Therapist | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 | 2014-08-29 |
| 1275932428 | Katie Fisher | Occupational Therapist | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 | 2014-08-13 |
| 1053729434 | Celebration Speech Inc | Clinic/Center | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 | 2014-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1427618958 | Eastern Idaho Endodontics | Dentist | 3335 S. Holmes Ave, Idaho Falls, ID 83404 | 2019-06-17 |
| 1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
| 1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
| 1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| Find all providers in zip 83404 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174156814 | Snake River Physical Therapy Specialists LLC | Physical Therapist | 620 S Woodruff Ave, Idaho Falls, ID 83401-5299 | 2020-02-21 |
| 1477183168 | Pick Pt Physical Therapy LLC | Physical Therapist | 2277 E Lincoln Rd, Idaho Falls, ID 83401-2202 | 2020-01-22 |
| 1629582002 | Michael Davis | Physical Therapist | 2093 Irene Ln, Idaho Falls, ID 83404-7167 | 2017-11-21 |
| 1194243691 | Mcdonald Rehab, PC | Physical Therapist | 3345 Potomac Way Ste B, Idaho Falls, ID 83404-4978 | 2017-09-05 |
| 1346626652 | Tyler J. Larson | Physical Therapist | 3155 Channing Way Ste D, Idaho Falls, ID 83404-7534 | 2015-08-10 |
| 1023415445 | Tahi Physical Therapy Pllc | Physical Therapist | 3345 Merlin Dr Ste 100, Idaho Falls, ID 83404-7405 | 2014-12-01 |
| 1386802908 | Angela Dawn Andrus | Physical Therapist | 2030 Jennie Lee Dr, Suite A, Idaho Falls, ID 83404-7000 | 2008-05-30 |
| 1245415751 | Therapeutic Solutions | Physical Therapist | 3934 Cordell Dr, Idaho Falls, ID 83401-4670 | 2008-01-03 |
| 1942489794 | Stephanie Liddle | Physical Therapist | 3125 Valencia Dr, Idaho Falls, ID 83404-7575 | 2007-10-29 |
| 1760677306 | Kevin Charles Stanforth | Physical Therapist | 374 12th St, Idaho Falls, ID 83404-5369 | 2007-09-06 |
| Find all providers in IDAHO FALLS | ||||
| City | IDAHO FALLS |
| Zip Code | 83404 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.