Kenneth Fredrick Crinklaw, MSPT, OCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00005937 Issued in WA

Practice address

16261 Redmond Way
# 100
Redmond, WA 98052-3833

Phone

(425) 881-3001

Fax

(425) 881-3585

NPI assigned

Dec 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ken Fredrick Crinklaw Other name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Redmond Physical Therapy IncGroup PAC ID 5496943516, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Redmond Physical Therapy, Inc.

  dba Premier Physical Therapy

  • Physical Therapist
  • Kirkland, WA
  • NPI 1962643965
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575504000000",
    "number": "1619035912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16261 REDMOND WAY",
            "address_2": "# 100",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523833",
            "telephone_number": "425-881-3001",
            "fax_number": "425-881-3585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16261 REDMOND WAY",
            "address_2": "# 100",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523833",
            "telephone_number": "425-881-3001",
            "fax_number": "425-881-3585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRINKLAW",
        "first_name": "KENNETH",
        "middle_name": "FREDRICK",
        "name_prefix": "Mr.",
        "credential": "MSPT, OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2019-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00005937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEN",
            "last_name": "CRINKLAW",
            "middle_name": "FREDRICK",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amy Coverston, OTR
• Marla J Cox, OTR/L
• Craig M Burns LLC (Redmond Sports Chiropractic)
• Kyle Crawford, DPT
• CRH Peters Creek LLC (Peters Creek)
• Richard A Crinzi, DDS MS
• Pamela Elaine Cripe
• Jillian Barbara Cromar
• Kevin W Crosby
• Ruth Crosby, MD

• Physical Therapist in Redmond, WA
• Providers in Redmond, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.