Ann Kenney, PTA
Physical Therapy Assistant in Fallbrook, CA. Individual provider (NPI-1).
NPI number1043672322
StatusActive
Last updated in NPPESMar 24, 2016
Details
- NPI
- 1043672322
- Entity type
- Individual (NPI-1)
- Name
- Ann Kenney
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 24, 2016
- Last updated
- Mar 24, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | AT10146 | CA | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 7158090108 | CA | |
| 225700000X | Massage Therapist | 18340 | CA |
Practice location
746 S Main Ave Ste DFallbrook, CA 92028-3352
Phone 760-728-8999 · Fax 760-728-0821
Mailing address
746 S Main Ave Ste DFallbrook, CA 92028-3352
Phone 760-728-8999 · Fax 760-728-0821
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physical Therapy Assistant providers in Fallbrook, CA
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