Patrick William Kincaid, DPT

Primary specialty

SpecialistTaxonomy code 174400000X

License

5935 Issued in OR

Practice address

270 N Molalla Ave
Molalla, OR 97038-8841

Phone

(503) 698-5500

Fax

(503) 557-4871

NPI assigned

Jun 10, 2009

Last updated

Jun 10, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mr. Patrick William Kincaid Former name

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clackamas Physical Therapy Associates, Inc.

  • Physical Therapy Clinic/Center
  • Clackamas, OR
  • NPI 1548443955

  Specialist

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244592000000",
    "number": "1033345517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14851 SE 82ND DR",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970157624",
            "telephone_number": "503-698-5500",
            "fax_number": "503-557-4871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 N MOLALLA AVE",
            "city": "MOLALLA",
            "state": "OR",
            "postal_code": "970388841",
            "telephone_number": "503-698-5500",
            "fax_number": "503-557-4871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINCAID",
        "first_name": "PATRICK",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-10",
        "last_updated": "2009-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "5935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICK",
            "last_name": "KINCAID",
            "middle_name": "WILLIAM",
            "prefix": "MR.",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brent A Jefferies, RPH
• Daryl L. Johnson, D.M.D.
• Dixie Lynn Johnson, LPC, NCC, OM
• JS Stafford Enterprises, Inc. (J & S Center for Wellness)
• Edward M Kim, MD
• Knead to Heal LLC (JS Massage Works)
• Julie Kornilkin, LICENSED MASSAGE THE
• Kamela Miriah Kraemer, DC
• Madison Marie Lanyon
• Katrina Lawrence, RPH

• Specialist in Molalla, OR
• Providers in Molalla, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.