Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013087063 Individual Practitioner Male Practitioner

Joseph A Kennedy , OTHER

Physical Therapist • Idabel, OK

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Joseph Kennedy, OTHER is a certified Physical Therapist practicing in Idabel, OK. With approximately 12 years of clinical experience since completing medical education in 2014, Joseph Kennedy delivers high-quality medical care to the local community at 902 E LINCOLN RD.

Joseph Kennedy is affiliated with Tanana Chiefs Conference and accepts Medicare assignment.

Frequently performed procedures and clinical services include evaluation for physical therapy, therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each, therapy procedure using functional activities. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

902 E Lincoln Rd

Idabel, OK 747457337

Telephone 5802862600
Fax 5802861107
Associated Practice Facility / Clinic
🏢 Choctaw Nation Of Oklahoma Facility NPI 1407822497

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Idabel, OK

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs -5.0 yrs vs City Avg
City Avg: 17.0 Yrs
State Avg: 13.9 Yrs
Regional Practice Density
6 Specialists

Practicing in Idabel, OK (2341 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
52.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kennedy (12 Years) 12 Yrs
Idabel Specialty Average (17.0 Years) 17.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97162 Evaluation for physical therapy, typically 30 minutes
12 12 $264.70 $127.07

Medical Specialties & State Licenses

Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License AK 1117

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: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.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. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Physical Therapy
1117 (AK)
Commercial Insurance / Payer ID Oklahoma Pt License
4463 (OK)

Hospital & Practice Group Affiliations

Tanana Chiefs Conference

122 1st Ave, Fairbanks, AK 997014871

Phone: 9074528251

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

27 Associated Practitioners
NPI 1043584436

Doctor of Pharmacy (Pharm.D.)

Kristi Williamson , RDH

Dental Hygienist

NPI 1063485464

Registered Dental Hygienist

Natalie Beck , PTA

Physical Therapy Assistant

NPI 1104580166

Physical Therapist Assistant

NPI 1225000821

Doctor of Dental Surgery

NPI 1255764387

Doctor of Optometry

Dr. Lisa Ortiz , MD

Internal Medicine

NPI 1275743684

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 07, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location June 07, 2011

Registered at 902 E LINCOLN RD, IDABEL, OK 747457337 (Tel: 5802862600)

📍
Updated Business Mailing Address June 07, 2011

Registered at 107 MILES ST, BROKEN BOW, OK 747284507 (Tel: 5802365261)

👤
Provider Name / Credentials Updated June 07, 2011

Recorded as JOSEPH KENNEDY, OTHER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 07, 2011

Physical Therapist (License #1117 in AK)

🟢
Initial NPI Registration & Enumeration November 08, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013087063
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 08, 2006
Last Update: June 07, 2011
Sole Proprietor: No

Mailing Address

107 Miles St

Broken Bow, OK 747284507

Phone: 5802365261

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.