TRACY DEWAYNE KENNEMORE PT
NPI 1972526515
Physical Therapist in Kimball, TN

Active since July 25, 2006Accepts Medicare Assignment
400 DIXIE LEE CENTER RD, KIMBALL, TN 37347(423) 837-7536(423) 837-7538 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tracy Dewayne Kennemore Pt NPPES

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

TRACY DEWAYNE KENNEMORE PT (NPI 1972526515) is an individual physical therapist in Kimball, Tennessee, licensed in Tennessee (PT0000006009) and active in the NPI registry since July 2006. He is a graduate of Other (1999).

NPPES Registry Identity

NPI1972526515
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameTRACY DEWAYNE KENNEMORECredential: PT
Location Address400 DIXIE LEE CENTER RDKimball, TN 37347-5672
Mailing Address400 Dixie Lee Center RdKimball, TN 37347-5672 · (423) 837-7536 · Fax (423) 837-7538
Fax(423) 837-7538
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJuly 25, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1972526515 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 TN · PT0000006009
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.
400 DIXIE LEE CENTER RD, Kimball, TN 37347

Other Names 1

Professional Name (2)Trace Dewayne Kennemore Pt

Other Identifiers 2

Medicaid3732180TN
Medicare ID-Type Unspecified3646106

Accepted Insurance

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

Tracy Dewayne Kennemore 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 ID6800816042
PECOS Enrollment IDI20051202000399

Areas of Expertise CMS Part B claims 5

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 exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
671 services37 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.
334 services27 patients
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.
104 services14 patients
Evaluation for physical therapy, typically 30 minutes 97162
An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.
15 services13 patients
Re-evaluation for physical therapy, typically 20 minutes 97164
A re-evaluation for physical therapy is a 20-minute session where your progress is assessed. Your physical therapist will check your current condition, compare it to previous records, and adjust your treatment plan if needed. This ensures your therapy remains effective and tailored to your needs.
15 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37347 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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 4

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

Physical Therapist
400 DIXIE LEE CENTER RD, SUITE A
KIMBALL, TN 37347
Dermatology
400 DIXIE LEE CENTER RD, SUITE C
KIMBALL, TN 37347
Physical Therapist
400 DIXIE LEE CENTER RD, SUITE A
KIMBALL, TN 37347
Physical Therapist
400 DIXIE LEE CENTER RD, SUITE A
KIMBALL, TN 37347

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 Tracy Kennemore's NPI number?

The NPI number for Tracy Kennemore is 1972526515. It was assigned to this individual provider in the NPPES registry on July 25, 2006. The provider is also known as Trace Dewayne Kennemore Pt.

Where is Tracy Kennemore located?

Tracy Kennemore practices at 400 Dixie Lee Center Rd, Kimball, TN 37347. The listed phone number is (423) 837-7536.

What is Tracy Kennemore's specialty?

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

Is Tracy Kennemore enrolled in Medicare?

Yes. Tracy Kennemore 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.

What insurance does Tracy Kennemore accept?

Health plans from Alliant Health Plans, Inc. and BlueCross BlueShield of Tennessee list Tracy Kennemore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tracy Kennemore 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.