Active NPI
Kenneth Huebner, PT
- Physical Therapy Clinic/Center
- Boynton Beach, FL
National Provider Identifier
1295902369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- PT 23455
- Practice address
- 1101 N Congress Ave
Suite 208
Boynton Beach, FL 33426-3336 - Phone
- (561) 736-0294
- Fax
- (561) 369-3544
- NPI assigned
- May 8, 2008
- Last updated
- May 8, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | PT 23455 | FL | Primary |
Addresses
Primary practice location
1101 N Congress Ave
Suite 208
Boynton Beach, FL 33426-3336
Mailing address
8411 Dynasty Dr
Boca Raton, FL 33433-6841
Phone (561) 213-5855
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 23455 | FL | MD | Physical Therapy Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210204800000",
"number": "1295902369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8411 DYNASTY DR",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334336841",
"telephone_number": "561-213-5855",
"fax_number": "561-369-3544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 N CONGRESS AVE",
"address_2": "SUITE 208",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334263336",
"telephone_number": "561-736-0294",
"fax_number": "561-369-3544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUEBNER",
"first_name": "KENNETH",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-08",
"last_updated": "2008-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "FL",
"license": "PT 23455",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.