MR. KENNETH LAGUA ADIVINO (NPI# 1184087793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184087793 |
| Entity Type | Individual |
| Full Name | MR. KENNETH LAGUA ADIVINO |
| Credential | PT, MS |
| Practice Address |
306 Stanaford Rd Beckley WV 25801-3142 |
| Practice Telephone | 3042553302 |
| Practice Fax Number | 3042542783 |
| Mailing Telephone | 3042553302 |
| Mailing Fax Number | 3042542783 |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2016-03-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 4669 | NM | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225100000X | Physical Therapist | PT003604 | WV | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
306 STANAFORD RD |
| City | BECKLEY |
| State | WV |
| Zip Code | 25801-3142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134128358 | Fausto Imbing | Pathology | 306 Stanaford Rd, Beckley, WV 25801-3142 | 2005-07-19 |
| 1285243048 | Holly Nicole Tonelli | Nurse Practitioner | 306 Stanaford Rd, Beckley, WV 25801-3142 | 2020-07-28 |
| 1639643422 | Kerry A Esprit | Nurse Anesthetist, Certified Registered | 306 Stanaford Rd, Beckley, WV 25801-3142 | 2019-01-15 |
| 1265933576 | April Dawn Reed | Physical Therapy Assistant | 306 Stanaford Rd, Beckley, WV 25801-3142 | 2018-02-22 |
| 1730600990 | Daisy Corro | Occupational Therapist | 306 Stanaford Rd, Beckley, WV 25801-3142 | 2017-06-28 |
| 1679012298 | Parthenia J Holly | Nurse Anesthetist, Certified Registered | 306 Stanaford Rd, Beckley, WV 25801-3142 | 2017-02-15 |
| 1184087603 | Rio Calvez Bero | Occupational Therapist | 306 Stanaford Rd, Beckley, WV 25801-3142 | 2016-04-01 |
| 1316306723 | John M Lucas | Nurse Anesthetist, Certified Registered | 306 Stanaford Rd, Anesthesia Department, Beckley, WV 25801 | 2016-02-12 |
| 1316335300 | Amanda Dillen | Nurse Anesthetist, Certified Registered | 306 Stanaford Rd, Beckley, WV 25801-3142 | 2014-12-30 |
| 1437493350 | Maria Carmelita Dy | Physical Therapist | 306 Stanaford Rd, Beckley, WV 25801-3142 | 2012-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144835190 | Misty Dawn Chambers | Psychologist | 154 Lagoon Way, Beckley, USA 25801 | 2020-09-15 |
| 1912511437 | Katherine Lynne Mcghee | Technician | 120 Schlager Dr., Beckley, WV 25801 | 2020-09-02 |
| 1255942421 | Tyesha Burger | Technician | 442 Industrial Dr, Beckley, WV 25801 | 2020-08-12 |
| 1053920553 | Angela Sanches | Case Manager/Care Coordinator | 134 Gooseberry Ln, Beckley, WV 25801 | 2020-07-30 |
| 1871119933 | Tiffani Michelle Dale | Counselor | 111 Coral Court, Apt 5, Beckley, WV 25801 | 2020-06-24 |
| 1679046049 | Liberty Dental Centers | Dentist | 102 Galleria Plaza, Beckley, WV 25801 | 2019-01-08 |
| 1952884942 | Susan Rae Rash | Nurse Practitioner | 250 Stanaford Rd Ste 203, Beckley, WV 25801 | 2018-09-14 |
| 1689169039 | Megan Rae Walker | Dentist | 3153 Robert C. Byrd Drive, Beckley, WV 25801 | 2018-06-28 |
| 1104318625 | Mountain State Vascular, Inc. | Surgery | 121 George Street, Beckley, WV 25801 | 2018-05-31 |
| 1356841100 | Harper Road Treatment Center LLC | Family Medicine | 1802 Harper Rd Ste 202, Beckley, WV 25801 | 2018-02-19 |
| Find all providers in zip 25801 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831712819 | Felino Carunungan | Physical Therapist | 136 Valinda St, Beckley, WV 25801-2063 | 2020-05-25 |
| 1912174541 | Maria Dulce Carunungan | Physical Therapist | 347 A Rural Acres Drive, Beckley, WV 25801 | 2008-05-13 |
| 1518148386 | Milestones Physical Therapy Inc. | Physical Therapist | 130 George St Ste A, Beckley, WV 25801-2648 | 2007-11-20 |
| 1912068172 | Shannon Brooks | Physical Therapist | 217 Brookshire Ln, Beckley, WV 25801-6729 | 2006-12-12 |
| 1710081997 | Charles S Jacinto | Physical Therapist | 141 Cohen St, Beckley, WV 25801 | 2006-09-11 |
| 1902850118 | Athletic & Physical Therapy Services Inc | Physical Therapist | 423 Carriage Dr, Beckley, WV 25801-2805 | 2006-05-20 |
| 1407468721 | Jerad Jeffrey Cook | Physical Therapist | 9 Yellow Wood Way, Beckley, WV 25801-7126 | 2020-08-18 |
| 1154969921 | Theodore Dhinagaran | Physical Therapist | 1710 Harper Rd, Beckley, WV 25801-3397 | 2019-12-12 |
| 1427405422 | Richard Wooton | Physical Therapist | 423 Carriage Dr, Beckley, WV 25801-2805 | 2016-05-19 |
| 1629434089 | Athletic and Physical Therapy Services Inc. | Physical Therapist | 423 Carriage Dr, Beckley, WV 25801-2805 | 2016-01-14 |
| Find all providers in BECKLEY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.