MR. KENNETH MARK ARMSTRONG (NPI# 1659617975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659617975 |
| Entity Type | Individual |
| Full Name | MR. KENNETH MARK ARMSTRONG |
| Credential | CVRT |
| Practice Address |
1 Freedom Way Br 271 Augusta GA 30904-6258 |
| Practice Telephone | 7067330188 |
| Mailing Telephone | 7067330188 |
| Enumeration Date | 2012-12-13 |
| Last Update Date | 2012-12-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | 6351 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | ACVREP | 6351 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588931166 | Kenneth J Armstrong | Massage Therapist | 3685 Hardt Rd, Eden, NY 14057-9639 | 2011-11-25 |
| 1730156696 | Kenneth John Armstrong | Dentist | 5850 Eubank Blvd Ne, Suite B-38, Albuquerque, NM 87111-6132 | 2006-02-28 |
| 1801375308 | Kenneth William Armstrong | Licensed Practical Nurse | 8610 N New Braunfels Ave Ste 405, San Antonio, TX 78217-6358 | 2018-08-07 |
| 1750398384 | Kenneth Lee Armstrong | Family Medicine | 511 Oakwood Blvd, Suite 103, Round Rock, TX 78681-4007 | 2006-08-03 |
| Street Address |
1 FREEDOM WAY BR 271 |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30904-6258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912900713 | Robert Leon Longe | Pharmacist | 1 Freedom Way, Augusta, GA 30904-6258 | 2005-05-24 |
| 1609476951 | Melissa Ann Cotton | Dentist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-27 |
| 1487253217 | Kelsey Shull | Recreation Therapist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-22 |
| 1437758844 | Angela Marie Brown | Social Worker | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-19 |
| 1538767819 | Stephen William Montgomery | Music Therapist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-09 |
| 1134726631 | Rebecca Leigh Halioua | Recreation Therapist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-07 |
| 1104435718 | Vincent Michael Fitch | Psychologist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-07-29 |
| 1558988162 | Amanda Draheim | Psychologist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-06-30 |
| 1174140784 | Tiffany Ariel Graves | Student in an Organized Health Care Education/Training Program | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-06-30 |
| 1982221776 | Janice J Anglin | Dietitian, Registered | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-06-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423706 | Lawren Murray Tachias | Registered Nurse | 950 15th Street Downtown, Augusta, GA 30904 | 2019-02-13 |
| 1457851842 | Heba Ahmed | Pharmacist | 912 15th Street, Augusta, GA 30904 | 2018-02-13 |
| 1124552690 | Jenny Liles | Student in an Organized Health Care Education/Training Program | 1004 Chafee Ave, Augusta, GA 30904 | 2017-04-11 |
| 1932640836 | Claudia Crawford | Student in an Organized Health Care Education/Training Program | 2624 Oakland Ave., Augusta, GA 30904 | 2017-03-13 |
| 1801240528 | F. Marion Durst IIi Dmd PC | Clinic/Center | 2325 Washington Road, Augusta, GA 30904 | 2016-04-19 |
| 1689031296 | Teresa Maria Martin | Counselor | 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 | 2016-01-27 |
| 1598122269 | Jillian Wilkerson | Counselor | Charlie Norwood Veteran Affairs One Freedom Way, Substance Use Recovery Clinic, Augusta, GA 30904 | 2016-01-26 |
| 1760855241 | Chase King | Occupational Therapist | 1735 Berkeley Rd, Augusta, GA 30904 | 2015-11-05 |
| 1962832246 | April Underwood Fox | Physician Assistant | 1417 Pendleton Rd, Augusta, GA 30904 | 2013-11-22 |
| 1861734378 | John Graham Theisen | Obstetrics & Gynecology | 810 Chafee Avenue, Augusta, GA 30904 | 2013-03-22 |
| Find all providers in zip 30904 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205275393 | Stephen C Crate | Rehabilitation Practitioner | 71 Hospital St, Augusta, ME 04330-6657 | 2013-06-21 |
| 1336485606 | Rachelle M Hansen | Rehabilitation Practitioner | 1 Freedom Way, Augusta, GA 30904-6258 | 2012-12-14 |
| 1417293820 | Charles Edward Genoe Jr. | Rehabilitation Practitioner | 1 Freedom Way, Unit 1b, Augusta, GA 30904-6258 | 2012-12-13 |
| 1780770420 | Janet S Eargle | Rehabilitation Practitioner | 1 Freedom Way, Rm. 1b147, Augusta, GA 30904 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881170363 | Synergy Rehab Atlanta, LLC | Rehabilitation Practitioner | 3903 S Cobb Dr Se Ste 250, Smyrna, GA 30080-8504 | 2018-07-17 |
| 1316390107 | Total Wellness & Rehab Center LLC | Rehabilitation Practitioner | 153 Lee Byrd Rd, Loganville, GA 30052-2310 | 2016-07-18 |
| 1407226699 | Keisha Diallo | Rehabilitation Practitioner | 233 Ardsley Pl, Norcross, GA 30093-5207 | 2015-09-30 |
| 1235434283 | Advance Rehabilitation & Consulting Limited Partnership | Rehabilitation Practitioner | 100 Lindsey Ln Ste A, Saint Marys, GA 31558-1727 | 2011-01-24 |
| 1548587694 | Bryan Davis Beasley | Rehabilitation Practitioner | 2659 Abutment Rd, Dalton, GA 30721-4887 | 2010-04-29 |
| 1992029987 | Henry Ogbuagu | Rehabilitation Practitioner | 743 Spring St Ne Ste 710, Gainesville, GA 30501-3715 | 2010-03-18 |
| 1760657159 | Pos Inc | Rehabilitation Practitioner | 1237 Salem Gate Way Se, Conyers, GA 30013-1637 | 2008-04-25 |
| 1598983728 | Yong Jian Liu | Rehabilitation Practitioner | 6244 Crooked Creek Rd, Ste B, Peachtree Corners, GA 30092-6137 | 2007-04-23 |
| 1679799696 | Mary Florene Radke | Rehabilitation Practitioner | 500 Sawtell Pl, Brunswick, GA 31520-1224 | 2007-04-18 |
| 1144358904 | Douglas James Mackay | Rehabilitation Practitioner | 611 W Smith St, Claxton, GA 30417-1851 | 2007-03-01 |
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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.