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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KENNEDI PHILLIPS
NPI 1629992789
Physical Therapist - Pediatrics in Eureka, MO

Active since August 10, 2026
54 LEGENDS PARKWAY, 157, EUREKA, MO 63025(636) 252-4464 Get Directions Write a Review

NPPES record added: August 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kennedi Phillips NPPES

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

KENNEDI PHILLIPS (NPI 1629992789) is an individual pediatrics provider in Eureka, Missouri, licensed in Missouri (2026036188) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1629992789
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameKENNEDI PHILLIPS
Location Address54 LEGENDS PARKWAY, 157Eureka, MO 63025
Mailing Address13935 Reflection Ct Apt 714Ballwin, MO 63021-8044
Phone(636) 252-4464
Sole ProprietorYes
Enumeration DateAugust 10, 2026
NPPES CertifiedJuly 30, 2026
✔ NPI 1629992789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License✔ Licensed in MO · 2026036188
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
54 LEGENDS PARKWAY, Eureka, MO 63025
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

LYDIA MARIE LOCK BCBA
Behavior Analyst
54 LEGENDS PARKWAY, SUITE 157
EUREKA, MO 63025
St. Louis County (636) 252-4464

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 Kennedi Phillips's NPI number?

The NPI number for Kennedi Phillips is 1629992789. It was assigned to this individual provider in the NPPES registry on August 10, 2026.

Where is Kennedi Phillips located?

Kennedi Phillips practices at 54 Legends Parkway 157, Eureka, MO 63025. The listed phone number is (636) 252-4464.

What is Kennedi Phillips's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for Kennedi Phillips was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.