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

Joseph A Kennedy, OTHER

Individual provider Physical Therapist · NPI 1013087063

Joseph A Kennedy, OTHER is a Physical Therapist in Private Practice in Idabel, Oklahoma. Qualified in 2014, 12 years ago. Practices with Tanana Chiefs Conference, a 149-clinician group and accepts Medicare assignment. Licensed in Alaska.

Years since qualifying
12
Licensed in
AK
In the registry since
2006

Practice location Address checks out

902 E Lincoln Rd
Idabel, OK 74745-7337
Phone: (580) 286-2600
Fax: (580) 286-1107
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1117 (AK)

Record details

NPI number1013087063
Entity typeIndividual (Type 1)
GenderMale
Credentials OTHER
Sole proprietorNo
NPI enumeratedNovember 8, 2006
Last updated in NPPESJune 7, 2011
Mailing address107 Miles St, Broken Bow, OK 74728-4507

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Tanana Chiefs Conference — 149 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Idabel