MR. JOHN MICHAEL KENNEDY MSPT
NPI 1821041260
Specialist in Bohemia, NY
About Mr. John Michael Kennedy Mspt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JOHN MICHAEL KENNEDY MSPT (NPI 1821041260) is an individual specialist in Bohemia, New York, licensed in New York (027703-1) and active in the NPI registry since May 2006.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. John Michael Kennedy Mspt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show John Kennedy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
East Meadow, NY 11554
- Reassigned Medicare billing, New York enrollment
- 110 clinicians in this Medicare group
East Meadow, NY 11554
- Reassigned Medicare billing, New York enrollment
- 75 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.
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 John Kennedy's NPI number?
The NPI number for John Kennedy is 1821041260. It was assigned to this individual provider in the NPPES registry on May 18, 2006.
Where is John Kennedy located?
John Kennedy practices at 15 Sal Ct, Bohemia, NY 11716. The listed phone number is (631) 513-3018.
What is John Kennedy's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is John Kennedy enrolled in Medicare?
Yes. John Kennedy is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for John Kennedy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Kennedy reassigns Medicare benefits to 2 organizations: Epic Long Island (East Meadow, NY) and Epic Medical Services PC (East Meadow, NY). Each 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 John Kennedy'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 John Kennedy was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Mr. John Michael Kennedy, MSPT · NPI 1821041260
Specialist provider in Bohemia, New York. Individual provider, active in the CMS NPPES registry since May 18, 2006.
## Identity
- **NPI:** 1821041260 (Entity type: Individual)
- **Enumerated:** May 18, 2006
- **Primary specialty:** Specialist · taxonomy 174400000X
- **State license:** 027703-1 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 15 SAL CT, Bohemia, NY 11716-3982
- **Phone:** (631) 513-3018
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Epic Long Island (NPI 1174563936, East Meadow, NY); Epic Medical Services PC (NPI 1134589609, East Meadow, NY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1821041260) · Data from the CMS NPPES public registry.