| Bradley Kennedy, DPT | |
|
1510 Ribaut Rd, Port Royal, SC 29935-1403 | |
| (843) 524-3241 | |
| (843) 322-3240 |
| Full Name | Bradley Kennedy |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1510 Ribaut Rd, Port Royal, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356741136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 08945R (Louisiana) | Secondary |
| 225100000X | Physical Therapist | 8479 (South Carolina) | Primary |
| Provider Name | Benchmark Healthcare Services Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1811213341 PECOS PAC ID: 3779726468 Enrollment ID: O20130828000417 |
| Provider Name | Novant Health Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1376379818 PECOS PAC ID: 2769915347 Enrollment ID: O20241105000118 |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley Kennedy, DPT Po Box 749306, Atlanta, GA 30374-9306 Ph: (843) 524-3241 | Bradley Kennedy, DPT 1510 Ribaut Rd, Port Royal, SC 29935-1403 Ph: (843) 524-3241 |
Lauren Danae Lynass, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1510 Ribaut Rd, Port Royal, SC 29935 Phone: 602-808-8989 | |
Delia Istrate, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1004 10th St, Port Royal, SC 29935 Phone: 843-310-9690 Fax: 800-317-9690 | |
Timothy William Smith, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1510 Ribaut Rd, Port Royal, SC 29935 Phone: 803-782-1587 | |
Rachel Marian Sanchez, PT, BS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1004 10th St, Port Royal, SC 29935 Phone: 843-310-9689 Fax: 800-317-9690 | |
Cara Mckenna, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1251 Ladys Island Dr, Port Royal, SC 29935 Phone: 843-521-2298 | |
Novant Health Physical Therapy Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 1510 Ribaut Rd, Port Royal, SC 29935 Phone: 843-524-3241 Fax: 843-322-3240 |