KENNETH C SMITH (NPI# 1508917543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508917543 |
| Entity Type | Individual |
| Full Name | KENNETH C SMITH |
| Credential | P.T. |
| Practice Address |
3307 Broadway St Suite 140 Mount Vernon IL 62864-2347 |
| Mailing Address |
2665 Sneed Rd Carbondale IL 62902-0443 |
| Practice Telephone | 6182447200 |
| Mailing Telephone | 6189641647 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| 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 |
3307 BROADWAY ST SUITE 140 |
| City | MOUNT VERNON |
| State | IL |
| Zip Code | 62864-2347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790713899 | Veena Kawatra Gupta | Family Medicine | 3307 Broadway St, Ste 140, Mount Vernon, IL 62864-2347 | 2006-06-28 |
| 1033491444 | Lormed LLC | Durable Medical Equipment & Medical Supplies | 3307 Broadway St, Suite 150, Mount Vernon, IL 62864-2387 | 2011-09-12 |
| 1285850396 | Brad Mcmillin, Inc | Hearing Aid Equipment | 3307 Broadway St, Suite 160, Mount Vernon, IL 62864-2347 | 2007-04-17 |
| 1346376274 | James Edward Keeler | Physician Assistant | 3307 Broadway St, Suite 140, Mount Vernon, IL 62864-2347 | 2007-02-26 |
| 1649283870 | Physician Rural Health Clinic of Jefferson County | Clinic/Center | 3307 Broadway St, Ste 130, Mount Vernon, IL 62864-2347 | 2006-08-15 |
| 1598777435 | Care First Medical Center | Family Medicine | 3307 Broadway St, Ste 140, Mount Vernon, IL 62864-2347 | 2006-08-12 |
| 1619989555 | Marillen L Wells | Dietitian, Registered | 3307 Broadway St, Ste 140, Mount Vernon, IL 62864-2347 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619438892 | Melissa Pryer | Dietitian, Registered | 2020 Broadway, Suite 1, Mt. Vernon, IL 62864 | 2019-03-28 |
| 1487145454 | Chiropractic Wellness Center of Mt Vernon, LLC. | Chiropractor | 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 | 2018-05-24 |
| 1851889208 | Kimberly Tate | Counselor | 4110 North Water Place, Mt. Vernon, IL 62864 | 2018-05-01 |
| 1871907790 | University Hematology Oncology Inc | Specialist | #11 Cusumano Professional Plaza, Mount Vernon, IL 62864 | 2014-06-18 |
| 1457771677 | Dynamic Counseling and Consultation Services | Social Worker | 3600 S Water Tower Pl, Mt Vernon, IL 62864 | 2014-04-27 |
| 1619239431 | Judith C Morgan | Counselor | 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-06-08 |
| 1073888624 | James Brian Verges | Counselor | 16338 N. Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-03-15 |
| 1720352271 | Lucinda M. Holdren | Counselor | 16338 North Illinois Highway 37, Mount Vernon, IL 62864 | 2012-03-01 |
| 1780978627 | Jamie M Orange | Physical Therapy Assistant | 19958 Fairfield Rd, Mt. Vernon, IL 62864 | 2011-06-08 |
| 1780978791 | Wendy Marie Claytor | Speech-Language Pathologist | 600 E Il Hwy 15, Mount Vernon, IL 62864 | 2011-06-07 |
| Find all providers in zip 62864 | ||||
| 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 |
|---|---|---|---|---|
| 1912518416 | Zachary Allen Buck | Physical Therapist | 213 Highway 37, Mount Vernon, TX 75457-3106 | 2020-08-10 |
| 1114550241 | Mary Ann Navasquez-salvatore | Physical Therapist | 20 William St Apt 5a, Mount Vernon, NY 10552-2838 | 2020-02-18 |
| 1104476449 | Goal Physical Therapy PC | Physical Therapist | 6 Gramatan Ave Ste 203, Mount Vernon, NY 10550-3209 | 2019-09-18 |
| 1982162905 | Jacob S Jackson | Physical Therapist | 4110 S Water Tower Pl, Mount Vernon, IL 62864-6544 | 2019-03-08 |
| 1467936781 | David Cagle | Physical Therapist | 111 S 12th St Ste B, Mount Vernon, WA 98274-4000 | 2018-09-21 |
| 1891272597 | Mallory Kirsch | Physical Therapist | 11545 E Radisson Rd, Mount Vernon, IL 62864-6861 | 2018-07-25 |
| 1093210759 | Urban Fitness and Health Club LLC | Physical Therapist | 525 E College Way, Mount Vernon, WA 98273-5571 | 2018-03-26 |
| 1891234381 | Rachel Clinedinst | Physical Therapist | 12601 Vincent Rd, Mount Vernon, OH 43050-8269 | 2017-02-16 |
| 1467998146 | Nina Kristine Ganalon | Physical Therapist | 4300 Valley Forge Rd Apt A, Mount Vernon, IL 62864-6929 | 2017-01-18 |
| 1215483797 | Kadeem Anthony Howell | Physical Therapist | 2 Mersereau Ave, Mount Vernon, NY 10553-1106 | 2016-08-25 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 62864 |
Please comment or provide details below to improve the information on KENNETH C SMITH.
| 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.