KIANA KENNEDY (DPT) – Physical Therapist, NPI 1043196850

KIANA KENNEDY (DPT) is a healthcare provider. based in Braintree, Massachusetts. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 054972 (NY). The NPI Number for KIANA KENNEDY (DPT) is 1043196850

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
KIANA KENNEDY (DPT)
NPI
1043196850
Phone
(781) 961-3370
Address
703 GRANITE ST STE 3
Enumeration Date
15 August 2025
Last Update Date
15 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3153363480
Graduation Year
2025 (1 year ago)
PAC ID
1355841370
Group Practice PAC ID
4284531674
Professional Enrollment ID
I20250825001041
Address ID
NY134414019RO91XXXRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

8,725 PHYSICAL THERAPIST IN PRIVATE PRACTICE in NY

Provider Addresses for KIANA KENNEDY (DPT)

  • 703 GRANITE ST STE 3

    BRAINTREE, MA 021845350

    Phone: (781) 961-3370

    Type: Mailing

  • 91 PERIMETER RD

    ROME, NY 134414018

    Phone: (315) 336-3480

    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: 2025-08-25

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
I20250825001041IPhysical Therapist In Private PracticeNYTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02184)

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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: 4284531674View full group profile
NameSpecialtyState
-NY
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeNY
-NY
Physical Therapist In Private PracticeMA
-MN
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeNY

Reviews

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Frequently asked questions

Can I use this page to confirm KIANA KENNEDY (DPT)'s NPI?
Yes. KIANA KENNEDY (DPT) is listed with NPI 1043196850 in the public NPI dataset.
Does CMS list KIANA KENNEDY (DPT) as active?
Yes — KIANA KENNEDY (DPT) is active in the NPI listing used on this page.
What taxonomy line describes KIANA KENNEDY (DPT)?
For research purposes, treat KIANA KENNEDY (DPT) as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
What area does KIANA KENNEDY (DPT) serve?
KIANA KENNEDY (DPT)'s listing highlights Braintree, Massachusetts; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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