Kenneth Birch Ditto, B.S., M.S., P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00008410 Issued in WA

Practice address

3908 Creekside Loop
Yakima, WA 98902-4877

Phone

(509) 576-0100

Fax

(509) 576-0101

NPI assigned

Jan 25, 2006

Last updated

May 15, 2020By 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

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Creekside Physical Therapy PLLCGroup PAC ID 5294710562, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.66 of 100Reported as group

Quality

80.52

Improvement activities

40

Cost

78.16

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science, Master of Science

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.

• Creekside Physical Therapy, PLLC

  • Physical Therapist
  • Yakima, WA
  • NPI 1922071455
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1285604785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 CASTLEVALE RD",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989085603",
            "telephone_number": "509-576-0100",
            "fax_number": "509-576-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3908 CREEKSIDE LOOP",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989024877",
            "telephone_number": "509-576-0100",
            "fax_number": "509-576-0101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4205 Castlevale Rd",
            "address_purpose": "LOCATION",
            "city": "Yakima",
            "state": "WA",
            "postal_code": "989085603",
            "country_code": "US",
            "telephone_number": "509-576-0100",
            "fax_number": "509-576-0101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DITTO",
        "first_name": "KENNETH",
        "middle_name": "BIRCH",
        "credential": "B.S., M.S., P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00008410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "5105BI",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRIME VICTIMS",
            "identifier": "8905789",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "6513370",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8424749",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0196042",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sabrina Dawn Dimock, MASSAGE THERAPIST
• Tam Thuy Uyen Dinh, PHARMD
• Direct Imaging PC
• William S. Disantis, D.D.
• Dithi a. Shetty PC
• Erika Dixon, DDS
• Dolly DO, DO
• Alexa Dobbs, LMT
• Darcy S Dockery, OT
• Duane T. Dolliver, M.S.

• Physical Therapist in Yakima, WA
• Providers in Yakima, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; 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.