Tynia Amon Kercheval, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

60031531 Issued in WA

Practice address

491 S 338TH St
Federal Way, WA 98003-6290

Phone

(253) 661-4466

NPI assigned

Jul 26, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311638400000",
    "number": "1598043598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16104 123RD AVENUE CT E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983749658",
            "telephone_number": "206-293-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 S 338TH ST",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036290",
            "telephone_number": "253-661-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERCHEVAL",
        "first_name": "TYNIA",
        "middle_name": "AMON",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-26",
        "last_updated": "2011-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "60031531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Ann Kenaston, RN
• Amanda Kendle, LPN
• Isabel Kennedy
• Teri Irwin Kennedy, MS CCC SLP
• Wendy E Kenzell, MS, OTR/L
• Karine Ann Kerns
• Tara Kerr
• Malavika Kesavan, MD
• Ketamine Wellness Centers Washington
• Laura Lynn Kettel, DPT

• Physical Therapy Assistant in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; 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.