Kenneth Lou Jr., PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

26152 Issued in MD

Practice address

23207 Stringtown Rd
Clarksburg, MD 20871-9363

Phone

(301) 861-2388

Fax

(240) 454-0159

NPI assigned

Sep 19, 2016

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

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Evolution Physical Therapy LLCGroup PAC ID 7012342843, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Evolution Physical Therapy LLC

  • Physical Therapist
  • Clarksburg, MD
  • NPI 1588208243

  DC

  Medicare reassignment Care Compare group NPD Authorized official
• Bethesda Physical Therapy

  • Physical Therapist
  • Bethesda, MD
  • NPI 1366508731

  DC

  Medicare reassignment NPD
• Maryland Sportscare & Rehab LLC

  • Physical Therapist
  • Westminster, MD
  • NPI 1518951995
  Medicare reassignment

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

{
    "created_epoch": "1474243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1053869107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23207 STRINGTOWN RD",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "208719363",
            "telephone_number": "301-861-2388",
            "fax_number": "240-454-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23207 STRINGTOWN RD",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "208719363",
            "telephone_number": "301-861-2388",
            "fax_number": "240-454-0159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOU",
        "first_name": "KENNETH",
        "name_suffix": "Jr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-19",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "26152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samira H Lilah
• Chung Hsian Lin, DDS
• John N Litchfield, CRNA
• Edmund Y Liu, DDS
• Lina Liu, D.D.S.
• Rebecca Lou, PT, DPT
• Nagender Rao Madavaram
• Radhika Jayaraj Manikumar, M.D.
• Marshall Clinical Social Work
• Maxine Marshall, LCSW-C

• Physical Therapist in Clarksburg, MD
• Providers in Clarksburg, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.