Individual provider Active NPI

Kenneth C. Foxx II, PT

  • Physical Therapist
  • Endicott, NY
National Provider Identifier
1386734218
Registry record updated Jul 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
005666-1 Issued in NY
Practice address
313 S Loder Ave
Endicott, NY 13760-6031
Phone
(607) 748-3703
Fax
(607) 748-5130
NPI assigned
Oct 13, 2006
Last updated
Jul 10, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2009

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 005666-1 NY Primary

Addresses

Primary practice location

313 S Loder Ave
Endicott, NY 13760-6031

Mailing address

313 S Loder Ave
Endicott, NY 13760-6031
Phone (607) 748-3703

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

LicenseStateTypeSpecialty
5666NYMDAddiction (Substance Use Disorder) Counselor
005666NYMDAcupuncturist
005666-1NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247184000000",
    "number": "1386734218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 S LODER AVE",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "137606031",
            "telephone_number": "607-748-3703",
            "fax_number": "607-748-5130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 S LODER AVE",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "137606031",
            "telephone_number": "607-748-3703",
            "fax_number": "607-748-5130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOXX",
        "first_name": "KENNETH",
        "middle_name": "C.",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2009-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "005666-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Endicott, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2009; 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.