KENNEDY NDAMBA (NPI# 1518430651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518430651 |
| Entity Type | Individual |
| Full Name | KENNEDY NDAMBA |
| Credential | DPT |
| Practice Address |
119 Foster St Peabody MA 01960-5933 |
| Mailing Address |
110 Riverpath Dr Apt 39 Framingham MA 01701-4092 |
| Practice Telephone | 9783906996 |
| Mailing Telephone | 9783906996 |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2019-01-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
23384 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
119 FOSTER ST |
| City | PEABODY |
| State | MA |
| Zip Code | 01960-5933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020321 | Kathleen Marie Cliffe | Nurse Practitioner | 15 Sandra Rd, Peabody, MA 01960 | 2020-07-10 |
| 1801398102 | Janis Melanson | Counselor | Higgins Middle School, 85 Perkins Street, Peabody, MA 01960 | 2018-03-02 |
| 1679082036 | Kelsey Ann Lima | Social Worker | 9 Centennial Drive, Suite 202, Peabody, MA 01960 | 2017-09-28 |
| 1609394485 | Victoria Jade Olechowski | Specialist/Technologist | 1002 Crane Brook Way, Peabody, MA 01960 | 2017-08-31 |
| 1841715711 | Alexandra Lee Chasse | Counselor | 9 Cenntenial Drive, Suit 202, Peabody, MA 01960 | 2017-08-11 |
| 1275982936 | Miguel A Roque | Dentist | 6 Essex Center Drive Suite 110, Peabody, MA 01960 | 2016-06-03 |
| 1528412061 | Kabamedicalcorporation | Durable Medical Equipment & Medical Supplies | 484lowell Street, Peabody, MA 01960 | 2016-04-21 |
| 1437510815 | Ana Tereza T. Wescott | Dentist | 89 Foster Street, Peabody Family Health Center, Peabody, MA 01960 | 2016-03-14 |
| 1225496474 | Ashley Motta | Counselor | 24 Jennifer Lane, Peabody, MA 01960 | 2016-02-03 |
| 1578942645 | Cerebral Palsy of Eastern Mass Incorporated | Early Intervention Provider Agency | 6 Stratis Way, Peabody, MA 01960 | 2015-05-22 |
| Find all providers in zip 01960 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245863208 | Bernard Paul Tabungar | Physical Therapist | 630 Merrill Ln Apt 4, Dracut, MA 01826-4450 | 2020-02-18 |
| 1326686825 | Lisa Marie Villa | Physical Therapist | 37 Birch Street, Milford, MA 01757 | 2019-12-16 |
| 1952965329 | Sarah Daly | Physical Therapist | 125 Parker Hill Ave # Main2, Boston, MA 02120-2847 | 2019-04-30 |
| 1134634082 | Victoria Kilroy | Physical Therapist | 110 Haverhill Rd Ste 344, Amesbury, MA 01913-2139 | 2017-12-13 |
| 1760923825 | Karen Oster | Physical Therapist | 23 Shipyard Dr Apt 206, Hingham, MA 02043-1609 | 2017-03-09 |
| 1699214320 | Diane O'sullivan | Physical Therapist | 2112 Riverdale St Ste 1, West Springfield, MA 01089-1099 | 2017-02-14 |
| 1033515135 | Alice Hooper | Physical Therapist | 40 Pine Ridge Dr, Bridgewater, MA 02324-1964 | 2014-11-17 |
| 1952744377 | Amy Elizabeth Strong | Physical Therapist | 190 Peck St, Franklin, MA 02038-2218 | 2013-04-16 |
| 1750664017 | Virginia Elaine Silvia | Physical Therapist | 383 East St, Brockton, MA 02302 | 2011-09-23 |
| 1205151040 | Pamela Jean Pellegrini | Physical Therapist | 36 Bay Farm Rd, Kingston, MA 02364-1555 | 2010-04-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.