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

McKenna Kennedy

Individual provider Physical Therapist · NPI 1629815774

McKenna Kennedy is a Physical Therapist in Private Practice in Waltham, Massachusetts. Qualified in 2024, 2 years ago. Practices with Proex Physical Therapy LLC, a 166-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024
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Practice location Address checks out

475 Winter St Ste 7
Waltham, MA 02451-1214
Phone: (781) 487-1788
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1629815774
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 15, 2024
Last updated in NPPESJuly 15, 2024
Certification dateJuly 15, 2024
Mailing address576 Broadhollow Rd, Melville, NY 11747-5002

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Proex Physical Therapy Llc — 166 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Waltham