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

Zachary Lee Kennedy, PT

Individual provider Physical Therapist · NPI 1689089765

Zachary Lee Kennedy, PT is a Physical Therapist in Private Practice in Southaven, Mississippi. Qualified in 2014, 12 years ago. Practices with MSK Group PC, a 139-clinician group and accepts Medicare assignment. Licensed in Mississippi and Tennessee.

Years since qualifying
12
Licensed in
MS, TN
In the registry since
2014
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

7111 Southcrest Pkwy Ste 105
Southaven, MS 38671-4851
Phone: (901) 261-2506
Fax: (901) 261-2590
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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 10012 (TN)
Physical Therapist Taxonomy 225100000X · Licence CP058100T (MS)

Record details

NPI number1689089765
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 26, 2014
Last updated in NPPESJune 1, 2026
Certification dateJune 1, 2026

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 Msk Group Pc — 139 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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