MR. KENNETH WOODRUFF (NPI# 1003909110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003909110 |
| Entity Type | Individual |
| Full Name | MR. KENNETH WOODRUFF |
| Credential | RPT |
| Practice Address |
9047 Executive Park Dr Suite 115 Knoxville TN 37923-4605 |
| Practice Telephone | 8655315820 |
| Practice Fax Number | 8655396461 |
| Mailing Telephone | 8655315820 |
| Mailing Fax Number | 8655396461 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
5634 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023188315 | Kenneth H Woodruff | Chiropractor | 600 North Third Street, Ste 201, Lacrosse, WI 54601-6299 | 2006-11-08 |
| Street Address |
9047 EXECUTIVE PARK DR SUITE 115 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37923-4605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467455196 | Rehab Specialties, Inc. | Physical Therapist | 9047 Executive Park Dr, Ste 115, Knoxville, TN 37923-4605 | 2005-05-27 |
| 1457525446 | Knoxville Integrated Developmental Services, Inc. | Speech-Language Pathologist | 9047 Executive Park Dr, Suite 115, Knoxville, TN 37923-4605 | 2008-04-22 |
| 1942499025 | Jeri Beasley | Speech-Language Pathologist | 9047 Executive Park Dr, Suite 115, Knoxville, TN 37923-4605 | 2007-10-15 |
| 1811052780 | Khortni H Rodgers | Speech-Language Pathologist | 9047 Executive Park Dr, Suite 115, Knoxville, TN 37923-4605 | 2006-12-22 |
| 1487721577 | Debra Ann Smith | Speech-Language Pathologist | 9047 Executive Park Dr, Suite 115, Knoxville, TN 37923-4605 | 2006-11-30 |
| 1336232438 | Victoria Vogt | Physical Therapist | 9047 Executive Park Dr, Suite 115, Knoxville, TN 37923-4605 | 2006-10-02 |
| 1659464832 | Michael Mckeehan | Physical Therapist | 9047 Executive Park Dr, Suite 115, Knoxville, TN 37923-4605 | 2006-10-02 |
| 1295828333 | Wes Piekosz | Physical Therapist | 9047 Executive Park Dr, Suite 115, Knoxville, TN 37923-4605 | 2006-10-02 |
| 1225121429 | Tracy Mullins | Occupational Therapist | 9047 Executive Park Dr, Suite 115, Knoxville, TN 37923-4605 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114541240 | Chloe Morgan | Registered Nurse | Parkwest Blvd, Knoxville, TN 37923 | 2020-06-04 |
| 1215551346 | Kaylee Huskey | Registered Nurse | Park West Blvd, Knoxville, TN 37923 | 2020-06-04 |
| 1942849914 | American Brace & Limb Enterprise, LLC | Prosthetic/Orthotic Supplier | 9333 Parkwest Blvd., 103, Knoxville, TN 37923 | 2019-12-23 |
| 1619510690 | Stacia Working | Speech-Language Pathologist | 310 Corporate Dr, Ste 101, Knoxville, TN 37923 | 2019-10-23 |
| 1497242903 | Mary Ensminger Loomis | Speech-Language Pathologist | 118 N Peters Rd Ste 174, Knoxville, TN 37923 | 2018-04-19 |
| 1831699602 | Shaun Elizabeth Hoffman | Counselor | 311 Directors Dr, Knoxville, TN 37923 | 2018-02-17 |
| 1962948737 | East Tennessee Binocular Vision Center Pllc | Optometrist | 9051 Executive Park Dr., Ste. 400, Knoxvville, TN 37923 | 2017-01-17 |
| 1467815761 | Hearing Conservation Associates Inc | Audiologist | 9301 Parkwest Blvd B-3, Knoxville, TN 37923 | 2016-04-04 |
| 1710354725 | Independent Physical Therapy, LLC | Occupational Therapist | 8905 Town and Country Cir Ste 9, Knoxville, TN 37923 | 2015-08-25 |
| 1568863553 | Kathryn Faye Ledbetter | Registered Nurse | 9352 Park W Blvd, Knoxville, TN 37923 | 2014-09-09 |
| Find all providers in zip 37923 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548454721 | Sean Frederick Preiss | Physical Therapist | 721 Mcguffeys Dr, Knoxville, TN 37934-8204 | 2007-08-30 |
| 1750757928 | Sarah Powell | Physical Therapist | 809 E Emerald Ave, Knoxville, TN 37917-5550 | 2015-08-11 |
| 1952705360 | Karen Katelyn Finley Williams | Physical Therapist | 2120 Highland Ave, Knoxville, TN 37916-1112 | 2014-10-14 |
| 1407040066 | Marissa S Carnes | Physical Therapist | 1901 W Clinch Ave, Knoxville, TN 37916-2307 | 2007-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417506262 | Therapy On The Move | Physical Therapist | 5371 Highway 297, Pioneer, TN 37847-4282 | 2019-09-04 |
| 1649838517 | Lindsay Carter Jones | Physical Therapist | 901 Teasel Dr, Kingsport, TN 37660-3261 | 2019-06-05 |
| 1932540648 | Elena Maria Miller | Physical Therapist | 581 Zachary Ln, Jackson, TN 38305-5679 | 2013-07-10 |
| 1619315942 | Kelsey Martha Humphrey | Physical Therapist | 4384 Conger Rd, Louisville, TN 37777-5118 | 2013-06-09 |
| 1801131610 | Emma Hernandez Tenerife | Physical Therapist | 505 Buchanan Road, New Tazewell, TN 37825 | 2012-12-05 |
| 1497017578 | Leo Tagbar Sumatra | Physical Therapist | 13135 Lebanon Rd, Mount Juliet, TN 37122-2873 | 2012-06-13 |
| 1952682700 | I Karen Howard | Physical Therapist | 808 Circle Hill Dr, Selmer, TN 38375-2292 | 2011-09-07 |
| 1942507850 | Megan Mayeux Smith | Physical Therapist | 2317 Us Highway 411 S, Maryville, TN 37801-8634 | 2011-02-13 |
| 1073125662 | Rehab At Your Space, LLC | Physical Therapist | 6320 N Quail Hollow Rd, Memphis, TN 38120-1420 | 2020-08-17 |
| 1346873981 | Francisco D Nayan Jr. | Physical Therapist | 856 Willow Tree Cir, Cordova, TN 38018-6376 | 2020-02-21 |
| 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.