KIMBERLY NICOLE KENNERLY PT, DPT
NPI 1336771575
Physical Therapist in Salisbury, NC
About Kimberly Nicole Kennerly Pt, Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY NICOLE KENNERLY PT, DPT (NPI 1336771575) is an individual physical therapist in Salisbury, North Carolina, licensed in North Carolina (P19388) and active in the NPI registry since February 2020. She is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kimberly Nicole Kennerly Pt, Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kimberly Kennerly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Salisbury, NC 28144
- Reassigned Medicare billing, North Carolina enrollment
- 7 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 11
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kimberly Kennerly's NPI number?
The NPI number for Kimberly Kennerly is 1336771575. It was assigned to this individual provider in the NPPES registry on February 5, 2020.
Where is Kimberly Kennerly located?
Kimberly Kennerly practices at 1508 W Innes St, Salisbury, NC 28144. The listed phone number is (704) 630-9656.
What is Kimberly Kennerly's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Kimberly Kennerly enrolled in Medicare?
Yes. Kimberly Kennerly is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kimberly Kennerly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Kennerly reassigns Medicare benefits to Fowler Physical Therapy, Inc. (Salisbury, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Kennerly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kimberly Kennerly was last updated on February 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.