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

Evan Kennedy, PT

Individual provider Physical Therapist · NPI 1366989279

Evan Kennedy, PT is a Physical Therapist in Private Practice in Bloomfield, Connecticut. Qualified in 2016, 10 years ago. Practices with Ptsma Inc, a 177-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
10
Licensed in
CT
In the registry since
2017
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

510 Cottage Grove Rd
Bloomfield, CT 06002-3165
Phone: (860) 769-6690
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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 011060 (CT)

Record details

NPI number1366989279
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJanuary 30, 2017
Last updated in NPPESJanuary 30, 2017
Mailing address510 Cottage Grove Rd, Bloomfield, CT 06002-3165

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Ptsma Inc — 177 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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