Ken Whitlow, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

004873 Issued in GA

Practice address

54 Lumpkin Campground Rd S Ste 100
Dawsonville, GA 30534-6197

Phone

(706) 216-7910

NPI assigned

Jan 9, 2007

Last updated

Aug 5, 2010By the provider in NPPES

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

Merit-based Incentive Payment System (MIPS)

Final score

86.7 of 100Reported as group

Quality

90

Improvement activities

40

Cost

73.99

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280966400000",
    "number": "1417006826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 MILLSFORD CT",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300407478",
            "telephone_number": "770-889-3357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 LUMPKIN CAMPGROUND RD S STE 100",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305346197",
            "telephone_number": "706-216-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLOW",
        "first_name": "KEN",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2010-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "004873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000762187D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Candace L. Wheeler, M.S., LPC
• Morgan Nicole Wheeler, MS, OTR/L
• Whispering Willow
• James Paul Whitcomb, RPH
• Alec Whitley
• Wildwood Eye Care LLC (Dawson Vision)
• Madison Williams, FNP-C
• Sarah Williamson, PA
• Jenna Wilson, M.S., CCC-SLP
• Meagan Wilson, NP-C

• Physical Therapist in Dawsonville, GA
• Providers in Dawsonville, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.