MICHAEL P. KENNEY (PT) – Physical Therapist, NPI 1306800875

MICHAEL P. KENNEY (PT) is a healthcare provider. based in Watertown, Massachusetts. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 13182 (MA). The NPI Number for MICHAEL P. KENNEY (PT) is 1306800875

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL P. KENNEY (PT)
NPI
1306800875
Phone
(617) 972-5288
Address
485 ARSENAL ST
Enumeration Date
13 April 2006
Last Update Date
28 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6174211000
Graduation Year
1999 (27 years ago)
PAC ID
6406887298
Group Practice PAC ID
4789588641
Professional Enrollment ID
I20050822000725
Address ID
MA022153904BO133XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,873 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MA

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Provider Addresses for MICHAEL P. KENNEY (PT)

  • 485, Arsenal Street, Watertown Mall, Watertown, Middlesex County, Massachusetts, 02472, United States

    WATERTOWN, MA 024725091

    Phone: (617) 972-5288

    Fax: (617) 972-5345

    Mailing address matches the actual address.

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: 2005-08-22

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
I20050822000725IPhysical Therapist In Private PracticeMATBD

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 minutes46351$0
97140Therapy procedure using manual technique, each 15 minutes11521$0
97164Re-evaluation for physical therapy, typically 20 minutes5324$0
97162Evaluation for physical therapy, typically 30 minutes3231$0
97530Therapy procedure using functional activities2322$0
View full utilization report →

Insurance plans in this area (ZIP 02472)

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Provider's Procedures

MICHAEL P. KENNEY (PT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYMA97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes12235

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: 4789588641View full group profile
NameSpecialtyState
-MA
Family PracticeMA
D E R M A T O L O G YMA
Emergency MedicineMA
Internal Medicine, Cardiovascular Disease (Cardiology)MA
-MA
O B S T E T R I C S/ G Y N E C O L O G YMA
-MA
Internal MedicineMA
O T O L A R Y N G O L O G YMA

Reviews

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Frequently asked questions

What number should I use to identify MICHAEL P. KENNEY (PT) for billing?
Administrative and clinical systems typically use NPI 1306800875 for MICHAEL P. KENNEY (PT).
Is MICHAEL P. KENNEY (PT) currently accepting referrals based on NPI status?
Registry metadata lists MICHAEL P. KENNEY (PT) as active.
Which specialty label fits MICHAEL P. KENNEY (PT)?
NPPES ties MICHAEL P. KENNEY (PT) to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MICHAEL P. KENNEY (PT)?
MICHAEL P. KENNEY (PT) is associated with Watertown, Massachusetts in the same public data insurers reference.
Why is information missing for MICHAEL P. KENNEY (PT)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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