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

Individual provider Physical Therapist · NPI 1336771575

Kimberly Nicole Kennerly, PT, DPT is a Physical Therapist in Private Practice in Salisbury, North Carolina. Qualified in 2019, 7 years ago. Practices with Fowler Physical Therapy Inc, a 7-clinician group. Licensed in North Carolina.

Years since qualifying
7
Licensed in
NC
In the registry since
2020
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

1508 W Innes St
Salisbury, NC 28144-2504
Phone: (704) 630-9656
Fax: (704) 630-9658
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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 P19388 (NC)

Record details

NPI number1336771575
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedFebruary 5, 2020
Last updated in NPPESFebruary 5, 2020
Certification dateFebruary 5, 2020

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Fowler Physical Therapy Inc — 7 clinicians
Accepts Medicare assignment Not indicated

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