Brian James Kitzerow, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60682696 Issued in WA

Practice address

2005 W Main St Ste 140
Battle Ground, WA 98604-4311

Phone

(360) 882-2778

NPI assigned

Jan 20, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Longview Physical and Sports Therapy Services PS

  • Physical Therapist
  • Longview, WA
  • NPI 1184835100
  NPD
• The Vancouver Clinic Inc PS

  dba Salmon Creek 2 Ambulatory Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Vancouver, WA
  • NPI 1306556907
  NPD
• The Vancouver Clinic Inc PS

  dba The Vancouver Clinic

  • Internal Medicine Physician
  • Vancouver, WA
  • NPI 1992759427
  NPD
• Advanced Pain Management Center

  • Durable Medical Equipment & Medical Supplies
  • Portland, OR
  • NPI 1467773663
  NPD (past)
• H & P Goodell, Inc.

  dba Goodell Physical Therapy & Fitness Training

  • Physical Therapy Clinic/Center
  • Portland, OR
  • NPI 1013908169
  NPD (past)

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1063743748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4825",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972084825",
            "telephone_number": "360-882-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 W MAIN ST STE 140",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986044311",
            "telephone_number": "360-882-2778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10305 SW Park Way",
            "address_2": "#300",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972255028",
            "country_code": "US",
            "telephone_number": "503-595-9001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KITZEROW",
        "first_name": "BRIAN",
        "middle_name": "JAMES",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-20",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "05889",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60682696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2091984",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keystone Speech Therapy LLC (Keystone Speech Therapy)
• Senait Tesfahuney Kibreab, HCA
• Seong Kim, DMD
• Michelle Elizabeth King, RN
• Tina King
• Sandra Knapp
• Valentin Kochenkov
• Jeffrey Neal Kockritz, D.D.S.
• Carolyn N Kohlenberger, LPC, LMHC
• Sarah Natanya Kohlenberger, LMHC

• Physical Therapist in Battle Ground, WA
• Providers in Battle Ground, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.