Kevin Michael Hussey, ATC, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

8554 Issued in OR

Practice address

763 Lakefair PL N
Keizer, OR 97303-3585

Phone

(360) 961-7754

NPI assigned

Oct 5, 2005

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

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": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254873600000",
    "number": "1922095850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "763 LAKEFAIR PL N",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973033585",
            "telephone_number": "360-961-7754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763 LAKEFAIR PL N",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973033585",
            "telephone_number": "360-961-7754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSEY",
        "first_name": "KEVIN",
        "middle_name": "MICHAEL",
        "credential": "ATC, PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2009-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OR",
            "license": "8554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Finaldi Hudson, MS, CRC
• Pedro Huerta Jr.
• Diane Hughes
• Tyler Hunt, PMHNP-BC
• Danielle Hurst
• Eileen Hyde, PT, DPT
• Inland Shores Family Dental
• Marcia Ann Ivie, OTR/L
• Marc T. Iwahiro, DMD
• Tiffany Iwasa

• Physical Therapy Assistant in Keizer, OR
• Providers in Keizer, OR by specialty
• Physical Therapy Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; 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.