Active NPI
Kenneth Yang, PT, DPT
- Physical Therapist
- Cedar Hill, TX
National Provider Identifier
1538631049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1302440
- Practice address
- 458 N Highway 67 Ste 100
Cedar Hill, TX 75104-2138 - Phone
- (469) 272-3129
- Fax
- (469) 272-3145
- NPI assigned
- Dec 21, 2018
- Last updated
- Jul 19, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT60839855 | WA | |
| Physical Therapist | 225100000X | 62636 | OR | |
| Physical Therapist | 225100000X | 1302440 | TX | Primary |
Addresses
Primary practice location
458 N Highway 67 Ste 100
Cedar Hill, TX 75104-2138
Mailing address
458 N Highway 67 Ste 100
Cedar Hill, TX 75104-2138
Phone (469) 272-3129
Other practice location 1
801 Montesano St
Westport, WA 98595
Phone (360) 268-0725
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 |
|---|---|---|---|
| 62636 | OR | MD | Physical Therapist |
| 1302440 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595116800000",
"number": "1538631049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "458 N HIGHWAY 67 STE 100",
"city": "CEDAR HILL",
"state": "TX",
"postal_code": "751042138",
"telephone_number": "469-272-3129",
"fax_number": "469-272-3145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "458 N HIGHWAY 67 STE 100",
"city": "CEDAR HILL",
"state": "TX",
"postal_code": "751042138",
"telephone_number": "469-272-3129",
"fax_number": "469-272-3145"
}
],
"practiceLocations": [
{
"address_1": "801 Montesano St",
"address_purpose": "LOCATION",
"city": "Westport",
"state": "WA",
"postal_code": "98595",
"country_code": "US",
"telephone_number": "360-268-0725",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YANG",
"first_name": "KENNETH",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-12-21",
"last_updated": "2020-07-19",
"certification_date": "2020-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60839855",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "62636",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1302440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar Hill, TX
- Michael Wistrom, DDS
- Witherspoon Mental Health and Wellness, PLLC
- Keisha Witherspoon
- Erica Wood, CCC-SLP
- Woodus Obstetrics and Gynecology, PLLC
- Yaw Safo M.D. PA (Safo and Associates Anesthesia)
- Young Ladies of Integrity & Virtue Inc. (Yliv)
- Michael Darren Young
- Your Next Chapter Counseling Co
- Ytb Enterprise LLC (Premier Choice Home Health Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.