Kelli Kennedy, PT, DPT in Venice, FL - Medicare Physical Therapist Provider

Kelli Kennedy, PT, DPT is a medicare enrolled "Physical Therapist" provider in Venice, Florida. Her current practice location is 834 Pinebrook Rd, Venice, Florida. You can reach out to her office (for appointments etc.) via phone at (941) 484-8107.

Kelli Kennedy is licensed to practice in Florida (license number PT40483) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1164201059.

Contact Information

	Kelli Kennedy, PT, DPT
	834 Pinebrook Rd, Venice, FL 34285-7123
	(941) 484-8107
	(941) 484-5186

Map and Direction

Healthcare Provider's Profile

Full Name	Kelli Kennedy
Gender	Female
Speciality	Physical Therapist
Location	834 Pinebrook Rd, Venice, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164201059
Provider Enumeration Date: 09/28/2023
Last Update Date: 11/15/2024

Medicare PECOS Information:

PECOS PAC ID: 6709326085
Enrollment ID: I20240913000151

Medical Identifiers

Medical identifiers for Kelli Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164201059	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	2305216701 (Virginia)	Secondary
225100000X	Physical Therapist	PT40483 (Florida)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelli Kennedy allows following entities to bill medicare on her behalf.

Provider Name	Ivyrehab Sept, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1982657433 PECOS PAC ID: 7911990908 Enrollment ID: O20240202000799

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelli Kennedy is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kelli Kennedy, PT, DPT 350 Braden Ave, Sarasota, FL 34243-2001 Ph: () -	Kelli Kennedy, PT, DPT 834 Pinebrook Rd, Venice, FL 34285-7123 Ph: (941) 484-8107

Reviews and Comments

Physical Therapist in Venice, FL

Roselle Joyce Beltran, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5865 Osprey Road, Venice, FL 34293 Phone: 941-268-9911
Dr. Ryan Scott Fronrath, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 836 Sunset Lake Blvd Ste 201, Venice, FL 34292 Phone: 941-497-1737
Mrs. Timi Jean Barletta, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 836 Sunset Lake Blvd, Suite 201, Venice, FL 34292 Phone: 941-497-1737 Fax: 941-497-7889
Jordan Estuardo Palma, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3030 Executive Dr, Venice, FL 34292 Phone: 941-485-1505 Fax: 941-485-7495
Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Rockley Blvd, Venice, FL 34293 Phone: 941-204-3555
Linda P Princiotta, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1223 Jacaranda Blvd, Venice, FL 34292 Phone: 941-486-6420
Ms. Dolores Theresa Biagini, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 Tamiami Trl S, Suite #210, Venice, FL 34285 Phone: 941-483-3400 Fax: 941-483-3422

Kelli Kennedy, PT, DPT - Medicare Physical Therapist in Venice, FL