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

Kennedy Willenborg, DPT

Individual provider Physical Therapist · NPI 1225768260

Kennedy Willenborg, DPT is a Physical Therapist in Private Practice in Olathe, Kansas. Qualified in 2022, 4 years ago. Practices with Physical Therapy by Phoenix of Springfield LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
4
Licensed in
KS
In the registry since
2022
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

141 S Parker St
Olathe, KS 66061-4043
Phone: (913) 538-5453
Fax: (913) 361-1051
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (KS)

Record details

NPI number1225768260
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 13, 2022
Last updated in NPPESJune 13, 2022
Certification dateJune 13, 2022
Mailing address2122 York Rd Ste 300, Oak Brook, IL 60523-1925

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Physical Therapy By Phoenix Of Springfield Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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