Kenneth Christopher Paz, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT025511 Issued in PA

Practice address

5479 Pottsville Pike
Suite 200
Leesport, PA 19533-8650

Phone

(610) 926-6778

Fax

(610) 926-7200

NPI assigned

Aug 3, 2016

Last updated

Aug 3, 2016By 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

Medicare fee-for-service enrollment

Enrolled in PA

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.

• HR Physician Services

  dba Redeemer Physical Therapy at Richboro

  • Rehabilitation Clinic/Center
  • Richboro, PA
  • NPI 1730650151

  Physical Therapist

  Medicare reassignment NPD
• HR Physician Services

  dba Redeemer Health Infusion Therapy

  • Internal Medicine Physician
  • Huntingdon Valley, PA
  • NPI 1679450910
  NPD

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470182400000",
    "number": "1174076400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 36TH ST",
            "address_2": "SUITE 100",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261011005",
            "telephone_number": "304-917-3660",
            "fax_number": "304-917-3674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5479 POTTSVILLE PIKE",
            "address_2": "SUITE 200",
            "city": "LEESPORT",
            "state": "PA",
            "postal_code": "195338650",
            "telephone_number": "610-926-6778",
            "fax_number": "610-926-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAZ",
        "first_name": "KENNETH",
        "middle_name": "CHRISTOPHER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-03",
        "last_updated": "2016-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT025511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Anna Namiotka, LCSW
• Kay Marie Nichols-Wolfe, MBA, OTR/L
• Katlyn Noel
• Occupational Health Centers of the Southwest P.a. (Concentra Medical Centers)
• Genevieve Beetham Pallas, PT
• Pennsylvania CVS Pharmacy LLC (CVS Pharmacy #01769)
• Pharmerica Drug Systems LLC (Pharmerica)
• Je Ann Michelle Pilconis, OTA
• Power of Love for Seniors, LLC (Seniors Helping Seniors)
• Agnieszka Magdalena Radwan-Woch, DMD

• Physical Therapist in Leesport, PA
• Providers in Leesport, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; 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.