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

Kelli Kennedy, PT, DPT

Individual provider Physical Therapist · NPI 1164201059

Kelli Kennedy, PT, DPT is a Physical Therapist in Private Practice in Venice, Florida. Qualified in 2023, 3 years ago. Practices with Agility Physical Therapy and Sports Performance, LLC, an 11-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida and Virginia.

Years since qualifying
3
Licensed in
FL, VA
In the registry since
2023
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

834 Pinebrook Rd
Venice, FL 34285-7123
Phone: (941) 484-8107
Fax: (941) 484-5186
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 350 Braden Ave, Sarasota, FL 34243-2001 — (941) 355-7637
  • 10504 Wakeman Dr, Fredericksburg, VA 22407-8040 — (540) 315-8249

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT40483 (FL)
Physical Therapist Taxonomy 225100000X · Licence 2305216701 (VA)

Record details

NPI number1164201059
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedSeptember 28, 2023
Last updated in NPPESNovember 15, 2024
Certification dateNovember 15, 2024
Mailing address350 Braden Ave, Sarasota, FL 34243-2001

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Agility Physical Therapy And Sports Performance, Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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