Kenneth Irving McDonald, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT34821 Issued in FL

Practice address

600 W North Blvd Ste D
Leesburg, FL 34748-5000

Phone

(352) 728-6636

Fax

(352) 787-4522

NPI assigned

Oct 18, 2007

Last updated

Sep 18, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network

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

• Pillsbury Physical Therapy

  • Physical Therapy Clinic/Center
  • Paradise, CA
  • NPI 1962442319

  Physical Therapist

  NPD (past)
• Ridge Physical Therapy&Wellness Center

  • Specialist
  • Paradise, CA
  • NPI 1538247929
  NPD (past)

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1720277452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W NORTH BLVD STE D",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485000",
            "telephone_number": "352-728-6636",
            "fax_number": "352-787-4522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W NORTH BLVD STE D",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485000",
            "telephone_number": "352-728-6636",
            "fax_number": "352-787-4522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "KENNETH",
        "middle_name": "IRVING",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-18",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 14744",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT34821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ08904Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tameka Mays
• Rebecca Denise McAllister, ARNP
• Rannie McKenzie McCalla
• Jacqueline Jonas McCollum, LMHC
• Joel R McConkey, PHARM.D.
• Terri Lynn McDonald, LCSW
• Ruby Zelphia McGee
• Michael Francis McGinnity, PA-C
• Angelica Christine McIntyre, P.T.A
• McIver Urological Clinic Pathology

• Physical Therapist in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; 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.