EVAN KENNEDY PT
NPI 1366989279
Physical Therapist in Bloomfield, CT

Active since January 30, 2017Accepts Medicare Assignment
510 COTTAGE GROVE RD, BLOOMFIELD, CT 06002(860) 769-6690 Get Directions Write a Review

NPPES record last updated: January 30, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evan Kennedy Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVAN KENNEDY PT (NPI 1366989279) is an individual physical therapist in Bloomfield, Connecticut, licensed in Connecticut (011060) and active in the NPI registry since January 2017. He is a graduate of Other (2016).

NPPES Registry Identity

NPI1366989279
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameEVAN KENNEDYCredential: PT
Location Address510 COTTAGE GROVE RDBloomfield, CT 06002-3165
Mailing Address510 Cottage Grove RdBloomfield, CT 06002-3165
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 30, 2017
NPI 1366989279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in CT · 011060
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • 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.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
510 COTTAGE GROVE RD, Bloomfield, CT 06002

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Evan Kennedy Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729510060
PECOS Enrollment IDI20241011002043

Areas of Expertise CMS Part B claims 2

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.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
42 services11 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
39 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06002 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist/Technologist (Athletic Trainer)
510 COTTAGE GROVE RD
BLOOMFIELD, CT 06002
Specialist
510 COTTAGE GROVE RD
BLOOMFIELD, CT 06002
Physical Therapist
510 COTTAGE GROVE RD
BLOOMFIELD, CT 06002
Physical Therapist
510 COTTAGE GROVE RD
BLOOMFIELD, CT 06002
Physical Therapist
510 COTTAGE GROVE RD
BLOOMFIELD, CT 06002
Orthopaedic Surgery
510 COTTAGE GROVE RD
BLOOMFIELD, CT 06002
Orthopaedic Surgery
510 COTTAGE GROVE RD
BLOOMFIELD, CT 06002
Physical Therapy Assistant
510 COTTAGE GROVE RD
BLOOMFIELD, CT 06002

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 Evan Kennedy's NPI number?

The NPI number for Evan Kennedy is 1366989279. It was assigned to this individual provider in the NPPES registry on January 30, 2017.

Where is Evan Kennedy located?

Evan Kennedy practices at 510 Cottage Grove Rd, Bloomfield, CT 06002. The listed phone number is (860) 769-6690.

What is Evan Kennedy's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Evan Kennedy enrolled in Medicare?

Yes. Evan Kennedy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Evan Kennedy was last updated on January 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.