Kevin'S Manual Therapy and Rehab LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00003078 Issued in WA

Legal business name

KEVIN'S MANUAL THERAPY AND REHAB LLC

Practice address

23745 225TH Way SE
Maple Valley, WA 98038-5294

Phone

(425) 432-0821

Fax

(888) 259-5378

NPI assigned

Apr 23, 2014

Organization subpart

No

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

Authorized official

Name

Kevin C Malone, PT

Title

Member, Manager

Phone

(206) 818-4739

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kevin Malone PT Doing business as

Locations

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398211200000",
    "number": "1104246610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23745 225TH WAY SE",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980385294",
            "telephone_number": "425-432-0821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23745 225TH WAY SE",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980385294",
            "telephone_number": "425-432-0821",
            "fax_number": "888-259-5378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN'S MANUAL THERAPY AND REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-23",
        "last_updated": "2014-04-23",
        "status": "A",
        "authorized_official_last_name": "MALONE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEMBER, MANAGER",
        "authorized_official_telephone_number": "206-818-4739",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00003078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8334476",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kevin Malone PT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richa Jayesh Kamdar, DDS
• Lauren Kanda, MA
• Andrea Aerin Kang
• Robert Bryce Kans, CBT
• Sableen Kaur, MS
• Hira Khalid, DDS
• Sade Khorami
• Rebekah Chan Kim
• King County Fire Protection District 43
• Boyd A Kinney, LMP

• Physical Therapist in Maple Valley, WA
• Providers in Maple Valley, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; 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.