Allen Kennedy, PT, DPT
NPI 1376067694 · Physical Therapist · Jackson, WY
Provider details
- NPI number
- 1376067694
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- No
- License
- PT-1721 (WY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1615 Curlew DrAmmon, ID 83406Phone: (208) 516-1204Fax: (208) 516-1204
Registry dates
- Enumerated
- 2017-07-28
- Last updated
- 2024-05-28
- Certified
- 2024-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.