Active NPIIndividual providerSole proprietor

Kennedy Ndamba, DPT

Physical Therapist, Geriatrics in Hyde Park, Massachusetts

NPI Number1518430651
Practice location
1242 River St, Hyde Park, MA 02136-2833
Fax
857-345-9591
Last updated
July 24, 2023

Kennedy Ndamba is a Physical Therapist, Geriatrics based in Hyde Park, MA. Kennedy Ndamba practices in Hyde Park, MA and has the professional credentials of DPT. The NPI Number for Kennedy Ndamba is 1518430651 and holds a License No. 23384 (MA). The current practice location address for Kennedy Ndamba is 1242 River St, Hyde Park, MA 02136-2833 and can be reached out via phone at 978-390-6996 and via fax at 857-345-9591.

Provider Profile Details

NPI Number
1518430651
Provider Name
Kennedy Ndamba
Credential
DPT
Provider Entity Type
Individual
Gender
Male
Address
1242 River St, Hyde Park, MA 02136-2833
Phone Number
978-390-6996
Fax Number
857-345-9591
Primary Taxonomy
Physical Therapist, Geriatrics · 2251G0304X
Sole Proprietor
Yes
Provider Enumeration Date
January 10, 2019
Last Update Date
July 24, 2023
Certification Date
July 24, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
1242 River St
Hyde Park, MA 02136-2833
Zip
02136-2833
Phone Number
978-390-6996
Fax Number
857-345-9591
Hyde Park, MA 02136Get directions →

Provider Business Mailing Address Details

Address
1242 River St
Hyde Park, MA 02136-2833
City
Hyde Park
State
MA
Zip
02136-2833
Phone Number
978-390-6996
Fax Number
857-345-9591

License Information

License Number
23384
License State
MA
Taxonomy
Physical Therapist, Geriatrics · 2251G0304X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Physical Therapist, Geriatrics providers near Hyde Park, MA

View all Physical Therapist, Geriatrics providers in Hyde Park →

Frequently Asked Questions

What is the NPI number of Kennedy Ndamba, DPT?

The NPI number of Kennedy Ndamba, DPT is 1518430651. It was assigned on January 10, 2019 and is currently active in the NPPES registry.

What is the specialty of Kennedy Ndamba, DPT?

Kennedy Ndamba, DPT is registered under the primary taxonomy Physical Therapist, Geriatrics (code 2251G0304X), licensed in MA under license number 23384.

Where does Kennedy Ndamba, DPT practice?

The practice location is 1242 River St, Hyde Park, MA 02136-2833. The office can be reached at 978-390-6996 (phone) or 857-345-9591 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1518430651 directly on the NPPES registry website.

Browse related providers