MR. ANDREW A KENNEDY (P.T.) – Physical Therapist, NPI 1306907118

MR. ANDREW A KENNEDY (P.T.) is a healthcare provider. based in Lake bluff, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials P.T.. They hold a License No. 070013697 (IL). The NPI Number for MR. ANDREW A KENNEDY (P.T.) is 1306907118

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
MR. ANDREW A KENNEDY (P.T.)
NPI
1306907118
Phone
(847) 295-0920
Address
100 E Scranton Ave
Enumeration Date
13 December 2006
Last Update Date
2 November 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8473810090
Graduation Year
2003 (23 years ago)
PAC ID
5597019828
Group Practice PAC ID
4789602681
Professional Enrollment ID
I20181126001628
Address ID
IL600103176BA530XXSTXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

5,028 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL

Provider Addresses for MR. ANDREW A KENNEDY (P.T.)

  • 100 E Scranton Ave

    Lake Bluff, IL 600442530

    Phone: (847) 295-0920

    Type: Location

  • 600, Oakmont Lane, Westmont, DuPage County, Illinois, 60559, United States

    WESTMONT, IL 605595548

    Phone: (630) 575-6200

    Type: Mailing

  • 130, North Hough Street, Barrington, Lake County, Illinois, 60010, United States

    BARRINGTON, IL 60010

    Phone: (847) 381-0090

    Fax: (847) 381-0181

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-11-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181126001628IPhysical Therapist In Private PracticeILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes94189$0
97530Therapy procedure using functional activities90286$0
97140Therapy procedure using manual technique, each 15 minutes77482$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes70481$0
97161Evaluation for physical therapy, typically 20 minutes5248$0
View full utilization report →

Insurance plans in this area (ZIP 60044)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4789602681View full group profile
NameSpecialtyState
-IL
Physical Therapist In Private PracticeIL
-IL
-IL
Physical Therapist In Private PracticeVA
-MI
-IL
Physical Therapist In Private PracticeAZ
Physical Therapist In Private PracticeIL
-MI

Reviews

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Frequently asked questions

What number should I use to identify MR. ANDREW A KENNEDY (P.T.) for billing?
Administrative and clinical systems typically use NPI 1306907118 for MR. ANDREW A KENNEDY (P.T.).
Should I treat MR. ANDREW A KENNEDY (P.T.) as an active provider?
Patients and plans typically see MR. ANDREW A KENNEDY (P.T.) as active in the national extract.
What services align with MR. ANDREW A KENNEDY (P.T.)'s listing?
MR. ANDREW A KENNEDY (P.T.)'s public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
Can patients visit MR. ANDREW A KENNEDY (P.T.) in Lake Bluff, Illinois?
For routing, start with Lake Bluff, Illinois for MR. ANDREW A KENNEDY (P.T.), then verify phone and hours locally.
Why is information missing for MR. ANDREW A KENNEDY (P.T.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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