Active NPI
Kevin Charles Hughes, PT
- Physical Therapist
- Clovis, CA
National Provider Identifier
1376641118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT10111
- Practice address
- 145 Shaw Ave
Suite a
Clovis, CA 93612-3841 - Phone
- (559) 299-2244
- Fax
- (559) 299-2487
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
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 Therapist | 225100000X | PT10111 | CA | Primary |
Addresses
Primary practice location
145 Shaw Ave
Suite a
Clovis, CA 93612-3841
Mailing address
145 Shaw Ave
Suite a
Clovis, CA 93612-3841
Phone (559) 299-2244
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10111 | CA | MD | Acupuncturist |
| PT10111 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346112000000",
"number": "1376641118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 SHAW AVE",
"address_2": "SUITE A",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936123841",
"telephone_number": "559-299-2244",
"fax_number": "559-299-2487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 SHAW AVE",
"address_2": "SUITE A",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936123841",
"telephone_number": "559-299-2244",
"fax_number": "559-299-2487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUGHES",
"first_name": "KEVIN",
"middle_name": "CHARLES",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2012-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT10111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clovis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.