MR. KENNETH W SMITH (NPI# 1184773954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184773954 |
| Entity Type | Individual |
| Full Name | MR. KENNETH W SMITH |
| Credential | P.T. |
| Practice Address |
1251 Ne Elm St Ste 2-a Prineville OR 97754-1206 |
| Practice Telephone | 5414476846 |
| Practice Fax Number | 5414471243 |
| Mailing Telephone | 5414476846 |
| Mailing Fax Number | 5414471243 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2007-10-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 0963 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 160010 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629680061 | Kenneth Lee Smith | Licensed Practical Nurse | 4905 Frontier Rd, Garland, TX 75043-3506 | 2020-08-18 |
| 1962067439 | Kenneth George Smith | Ophthalmology | 26 Apple Valley Road, High Rolls, NM 88325 | 2019-05-09 |
| 1568933141 | Kenneth Smith | Pharmacist | 4393 Fielding Ln, Norcross, GA 30092-1647 | 2018-12-08 |
| 1639645203 | Kenneth Smith | Social Worker | 311 S Betty Ln Apt 34, Clearwater, FL 33756-5849 | 2018-10-22 |
| 1487105144 | Kenneth Smith | Counselor | 4041 N High St Ste 300n, Columbus, OH 43214-3200 | 2016-10-18 |
| 1356898480 | Kenneth Smith | Nurse Practitioner | 6480 Se 55th St, Trenton, FL 32693-3019 | 2016-09-07 |
| 1942661897 | Kenneth Smith | Counselor | 26 Cahoon Rd, Apt A, Buzzards Bay, MA 02532-4802 | 2016-03-18 |
| 1043600893 | Kenneth Edward Smith | Counselor | 1125 48th Avenue North, Myrtle Beach, SC 29577 | 2015-02-02 |
| 1376945261 | Kenneth Smith II | Nurse Practitioner | 224 W D. L. Ingram Ave, Cannon Afb, NM 88103-5103 | 2014-09-23 |
| 1982041018 | Kenneth Lee Smith II | Psychiatry & Neurology | 2323 Sandringham Cir, Indianapolis, IN 46214-2396 | 2013-05-30 |
| Street Address |
1251 NE ELM ST STE 2-A |
| City | PRINEVILLE |
| State | OR |
| Zip Code | 97754-1206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982605911 | Kenneth D Long | Physician Assistant | 1251 Ne Elm St, Prineville, OR 97754 | 2005-08-01 |
| 1518404078 | Mary Katherine Brook | Peer Specialist | 1251 Ne Elm St, Prineville, OR 97754-1206 | 2017-01-23 |
| 1790222487 | Tara Lee Fetterly | Peer Specialist | 1251 Ne Elm St, Prineville, OR 97754-1206 | 2017-01-19 |
| 1699224899 | Casey Marker | Behavioral Analyst | 1251 Ne Elm St, Prineville, OR 97754-1206 | 2016-09-28 |
| 1285183533 | Katie Morrison | Counselor | 1251 Ne Elm St, Prineville, OR 97754-1206 | 2016-09-28 |
| 1760838668 | Proactive Physical Therapy - Prineville, LLC | Physical Therapist | 1251 Ne Elm St, Prineville, OR 97754-1206 | 2016-05-10 |
| 1497115018 | Glenda Miller | Peer Specialist | 1251 Ne Elm St, Prineville, OR 97754 | 2016-02-24 |
| 1326406901 | Patricia Bates | Case Manager/Care Coordinator | 1251 Ne Elm St, Prineville, OR 97754-1206 | 2016-02-10 |
| 1851756233 | Dawn Mountz | Counselor | 1251 Ne Elm St, Prineville, OR 97754-1206 | 2015-12-29 |
| 1972974665 | Anne Stout | Counselor | 1251 Ne Elm St, Prineville, OR 97754-1206 | 2015-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598246290 | Phyllis Louise Young | Physical Therapy Assistant | 350 Ne Brennan Ln, Prineville, OR 97754 | 2018-08-22 |
| 1316424518 | Monte Bainbridge | Counselor | 1103 Ne Elm St Ste B, Prineville, OR 97754 | 2018-07-20 |
| 1841739760 | Gregory Wayne Sanders | Marriage & Family Therapist | 445 Nw 3rd Street, Prineville, OR 97754 | 2017-02-13 |
| 1114474962 | Amy R Duryea | Counselor | 1103 Ne Elm St., Prineville, OR 97754 | 2016-09-08 |
| 1669855052 | Rebecca L Griffith | Mechanotherapist | 298 N Holly St, Prineville, OR 97754 | 2015-07-02 |
| 1376810838 | Jessica Lynn Neely | Counselor | 1333 Nw 9th Street, Prineville, OR 97754 | 2011-11-28 |
| 1205076130 | Dean Arthur Laney | Registered Nurse | 375 Nw Beaver St., Suite 100, Prineville, OR 97754 | 2009-03-05 |
| 1699910513 | Ross E Weakley | Acupuncturist | 298 Sw Harwood, Prineville, OR 97754 | 2008-12-05 |
| 1326208752 | Laura Danielle Gratton | Family Medicine | 975 Nw Beaver Street, Prineville, OR 97754 | 2008-06-10 |
| 1811174550 | Central Oregon Eyecare, PC | Optometrist | 198 Ne Combs Flat Rd, Ste 120, Prineville, OR 97754 | 2008-01-24 |
| Find all providers in zip 97754 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598321101 | Warren Robert Ocano | Physical Therapist | 1470 Ne 3rd St, Prineville, OR 97754-2906 | 2019-05-20 |
| 1841632981 | John Weston Egbert | Physical Therapist | 1590 Ne 3rd St, Suite B, Prineville, OR 97754-2916 | 2013-07-17 |
| 1811074800 | Heather M Klos | Physical Therapist | 1590 Ne 3rd St Ste B, Prineville, OR 97754 | 2006-11-01 |
| 1942318399 | Carina Estella Kahl | Physical Therapist | 1251 Ne Elm St Ste 2a, Prineville, OR 97754-3143 | 2006-08-27 |
| 1740747781 | Ryan Short | Physical Therapist | 1251 Ne Elm St Ste 2a, Prineville, OR 97754-3143 | 2019-02-26 |
| 1063996437 | Ryan Kaser | Physical Therapist | 1251 Ne Elm St Ste 2a, Prineville, OR 97754-3143 | 2018-09-20 |
| 1922527878 | Evan Ameluxen-coleman | Physical Therapist | 1590 Ne 3rd St Ste B, Prineville, OR 97754-2916 | 2017-09-12 |
| 1760838668 | Proactive Physical Therapy - Prineville, LLC | Physical Therapist | 1251 Ne Elm St, Prineville, OR 97754-1206 | 2016-05-10 |
| 1073971867 | Timothy I Gross | Physical Therapist | 425 N Main St, Prineville, OR 97754-1855 | 2016-02-08 |
| 1629448477 | Nicholas Whelan | Physical Therapist | 950 Ne Elm St, Prineville, OR 97754-1619 | 2015-10-05 |
| Find all providers in PRINEVILLE | ||||
| City | PRINEVILLE |
| Zip Code | 97754 |
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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.