Zachary Lee Kennedy, P.T.
NPI 1689089765ActiveIndividual· Physical Therapist· Southaven, MS
Physical Therapist (P.T.) with Msk Group PC and 1 other group, practicing in Southaven, Mississippi. Enrolled in Medicare as practitioner - physical therapist in private practice and practitioner - physical therapist in private practice.
Overview
| NPI | 1689089765 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.T. |
| Sole proprietor | No |
| NPI issued | Jun 26, 2014 |
| Last updated in NPPES | Jun 1, 2026 |
| Certified by provider | Jun 1, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 10012 | TN |
| Physical Therapist | 225100000X | CP058100T | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (MS); Practitioner - Physical Therapist in Private Practice (TN) |
|---|
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- Msk Group PCMemphis, TN · 142 clinicians
- Cairn Strength and Wellness LLCMemphis, TN · 4 clinicians
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