KEVIN KINNARD – Physical Therapist, NPI 1881113090

KEVIN KINNARD is a healthcare provider. based in Bedford, Massachusetts. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 21896 (MA). The NPI Number for KEVIN KINNARD is 1881113090

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN KINNARD
NPI
1881113090
Phone
(781) 652-9800
Address
200 GREAT RD
Enumeration Date
19 September 2017
Last Update Date
19 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7816529800
Graduation Year
2015 (11 years ago)
PAC ID
4486910528
Group Practice PAC ID
5496279408
Professional Enrollment ID
I20171107000442
Address ID
MA017302711BE200XXRDXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

2,873 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MA

Provider Addresses for KEVIN KINNARD

  • 200 GREAT RD

    BEDFORD, MA 017302711

    Phone: (781) 652-9800

    Type: Location

  • 12 BEVERLY RD

    BILLERICA, MA 018211119

    Phone: (508) 282-0669

    Type: Mailing

  • 8, Rosewood Place, Westborough, Worcester County, Massachusetts, 01581, United States

    WESTBOROUGH, MA 015813832

    Phone: (508) 282-0669

    Type: Mailing

  • Gordon College, 255, Grapevine Road, Wenham Neck, Wenham, Essex County, Massachusetts, 01984, United States

    WENHAM, MA 019841813

    Phone: (978) 867-4095

    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: 2017-11-07

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
I20171107000442IPhysical 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.

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

Insurance plans in this area (ZIP 01730)

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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: 5496279408View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA

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Frequently asked questions

Does KEVIN KINNARD share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KEVIN KINNARD uses 1881113090.
Can I rely on KEVIN KINNARD being an active provider?
As of the registry snapshot, KEVIN KINNARD is marked active.
What is KEVIN KINNARD's primary classification?
Physical Therapist is the headline specialty for KEVIN KINNARD here. Clinical services aligned with this taxonomy classification.
What area does KEVIN KINNARD serve?
KEVIN KINNARD's listing highlights Bedford, Massachusetts; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.