Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brent Sheldon Kennedy, DPT

Individual provider Physical Therapist · NPI 1295855112

Brent Sheldon Kennedy, DPT is a Physical Therapist in Private Practice in Idaho Falls, Idaho. Qualified in 2002, 24 years ago. Practices as a sole proprietor. Licensed in Idaho.

Years since qualifying
24
Licensed in
ID
In the registry since
2007
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

3715 Woodking Dr
Idaho Falls, ID 83404-4720
Phone: (208) 529-2255
Fax: (208) 529-2022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence RPT-1740 (ID)

Record details

NPI number1295855112
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedApril 2, 2007
Last updated in NPPESAugust 29, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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