Kenedy Thaman
NPI 1457184426ActiveIndividual· Physical Therapist· Fort Worth, TX
Physical Therapist with Sportherapy LLC and 1 other group, practicing in Fort Worth, Texas. Medicare paid $17,986 for services to 47 patients in 2024.
Overview
| NPI | 1457184426 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Aug 23, 2024 |
| Last updated in NPPES | Aug 23, 2024 |
| Certified by provider | Aug 23, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 1398999 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 47 |
|---|---|
| Services billed | 770 across 7 procedure codes |
| Paid by Medicare | $17,986 |
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- Sportherapy LLCFort Worth, TX · 46 clinicians
- Physiologic, LLCWeatherford, TX · 10 clinicians
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All 619 physical therapists in Fort Worth · All physical therapists in Texas