Ken John Utzinger, LPT PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT1100055 Issued in TX

Practice address

818 N Maple
Odessa, TX 79761-2808

Phone

(432) 337-4649

Fax

(432) 337-0354

NPI assigned

Jan 8, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Ken Utzinger LPT PC

  • Physical Therapist
  • Odessa, TX
  • NPI 1356564074
  NPD

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190764800000",
    "number": "1376691121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 N MAPLE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797612808",
            "telephone_number": "432-337-4649",
            "fax_number": "432-337-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 N MAPLE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797612808",
            "telephone_number": "432-337-4649",
            "fax_number": "432-337-0354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UTZINGER",
        "first_name": "KEN",
        "middle_name": "JOHN",
        "credential": "LPT PC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "PT1100055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "83150T",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• University of Texas Southwestern Medical Center at Dallas
• Terry M Unruh, M.D.
• Up Rao MD PA
• Urias Eyecare
• Aaron R Urias, O.D.
• Sing Dy Uy, M.D.
• Rito Valdez, MD
• Veronica O Valdivia
• Beatrice Valenzuela
• Susan Dean Van de Water, MD

• Physical Therapist in Odessa, TX
• Providers in Odessa, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.