Ken Wrench Physical Therapy, P/a

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0011588 Issued in FL

Legal business name

KEN WRENCH PHYSICAL THERAPY, P/A

Doing business as

Advanced Physical Therapy

Practice address

13829 U.S. 98 Bypass
Dade City, FL 33525

Phone

(352) 518-4677

Fax

(352) 518-4640

NPI assigned

Oct 31, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ken W Wrench, P.T.

Title

President

Phone

(352) 518-4677

Specialties & licenses 1

Addresses

Other names 1

• Advanced Physical Therapy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Rogasner, PT

  • Physical Therapist
  • Boca Raton, FL
  • NPI 1164619631
  NPD (past)

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407932478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13829 U.S. 98 BYPASS",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "33525",
            "telephone_number": "352-518-4677",
            "fax_number": "352-518-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13829 U.S. 98 BYPASS",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "33525",
            "telephone_number": "352-518-4677",
            "fax_number": "352-518-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEN WRENCH PHYSICAL THERAPY, P/A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WRENCH",
        "authorized_official_first_name": "KEN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-518-4677",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "0011588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donna Gillian Joyce, LMT, RMT
• Sudhir Kalaskar, M.D.
• Yeo Whoa Kang Kim
• Karen Rose
• Nycole Kauk, PHD
• Elizabeth C Kennedy, B.S
• Ryan Kilbane, MSN, FNP-C
• Anderson Carter Kiracofe
• Darlene Kirkpatrick, PTA
• Shannon Clarke Korst, LMT

• Physical Therapist in Dade City, FL
• Providers in Dade City, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.