Individual provider Active NPI

Kenneth McAdow, PT, DPT

  • Physical Therapist
  • Kingman, AZ
National Provider Identifier
1174079800
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12402 Issued in AZ
Practice address
2404 Stockton Hill Road
Suite K
Kingman, AZ 86401
Phone
(928) 440-6880
NPI assigned
Sep 1, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12402 AZ Primary

Addresses

Primary practice location

2404 Stockton Hill Road
Suite K
Kingman, AZ 86401

Mailing address

1065 Paradise Coach Drive
Henderson, NV 89002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161208000824 AZ Practitioner - Physical Therapist in Private Practice 2163702127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Arizona Physical Therapy AssociatesGroup PAC ID 0547565988, 5 clinicians

Practice addresses (Care Compare)

1707 E Andy Devine Ave
Kingman, AZ 86401-6255
Phone (928) 440-6880

Merit-based Incentive Payment System (MIPS)

Final score
52.71 of 100Reported as group
Quality
0
Improvement activities
40
Cost
75.68

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Arizona Physical Therapy Associates CurrentSince Nov 25, 2016 Accepting new patients
Northern Arizona Physical Therapy Associates Physical Therapist CurrentSince Jun 3, 2025 Accepting new patients

Locations

3003 Highway 95
Ste 61
Bullhead City, AZ 86442
Phone (928) 440-6880

2404 N Stockton Hill Rd
Ste K
Kingman, AZ 86401
Phone (928) 440-6880

1707 E Andy Devine Ave
Kingman, AZ 86401
Phone (928) 440-6880

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1174079800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 PARADISE COACH DRIVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 STOCKTON HILL ROAD",
            "address_2": "SUITE K",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "86401",
            "telephone_number": "928-440-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCADOW",
        "first_name": "KENNETH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "12402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingman, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.