MR. KENNETH JAMES OVERMAN (NPI# 1255780961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255780961 |
| Entity Type | Individual |
| Full Name | MR. KENNETH JAMES OVERMAN |
| Other Name | KEN OVERMAN |
| Credential | PT |
| Practice Address |
17518 123rd Ave Ne Crown Hill - Seven Springs Arlington WA 98223-7973 |
| Practice Telephone | 3604358784 |
| Mailing Telephone | 3604358784 |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2016-06-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
00002290 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
17518 123RD AVE NE CROWN HILL - SEVEN SPRINGS |
| City | ARLINGTON |
| State | WA |
| Zip Code | 98223-7973 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225667462 | Clark Nursing LLC | Registered Nurse | 30818 412th Dr. N.e., Arlington, WA 98223 | 2020-04-08 |
| 1952952442 | Tina Willett | Technician | 18404 19th Avenue Ne, Arlington, WA 98223 | 2019-09-25 |
| 1841841764 | Carolyn Marie Lantz | Technician | 6002 Cemetery Road, Arlington, WA 98223 | 2019-09-23 |
| 1801457643 | Maddison Post | Massage Therapist | 18725 Smokey Point Boulevard, Arlington, WA 98223 | 2019-06-24 |
| 1790341113 | Brandon Tyler Stott | Specialist/Technologist | 17023 11th Ave Ne, Arlington, WA 98223 | 2019-05-10 |
| 1881177715 | Hailey R Tanis | Massage Therapist | 3131 Smokey Point Drive #5b, Arlington, WA 98223 | 2018-09-06 |
| 1407381023 | Rest Easy Hair Clinic | Specialist | 3710 168th Street N.e. B101, Arlington, WA 98223 | 2017-04-21 |
| 1851839617 | Jamie Claire Chatters-elf | Preventive Medicine | 315 N French Avenue, Arlington, WA 98223 | 2017-02-01 |
| 1790153286 | Glenda Louise Taylor | Massage Therapist | 16404 Smokey Point Blvd #307, 307, Arlington, WA 98223 | 2015-09-14 |
| 1972990042 | Lizette Jamora Antig | Pediatrics | 875 Wesley St Ste 130, Arlington, WA 98223 | 2015-04-16 |
| Find all providers in zip 98223 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972118800 | Brittney Boggs | Physical Therapist | 4511 Meadow Hawk Dr, Arlington, TX 76005-1259 | 2020-09-08 |
| 1548601529 | Whitney C Pelton | Physical Therapist | 5910 Wilson Blvd, Sunrise Bluemont, Arlington, VA 22205 | 2013-07-08 |
| 1629373162 | Erica Linda Bustos | Physical Therapist | 3009 Spring Oak Pl, Arlington, TX 76017-2536 | 2011-01-13 |
| 1194380022 | Thamizhselvi Chandrin | Physical Therapist | 2645 W Randol Mill Rd, Arlington, TX 76012-4228 | 2019-05-06 |
| 1376026617 | Genise Nicole Perkins | Physical Therapist | 7100 Matlock Rd, Arlington, TX 76002-3402 | 2018-09-12 |
| 1679053565 | Tommy Le | Physical Therapist | 7100 Matlock Rd, Arlington, TX 76002-3402 | 2018-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740724475 | Aaron Scheidies | Physical Therapist | 2121 N 113th St, Unit A, Seattle, WA 98133-8502 | 2016-12-15 |
| 1992127229 | Marissa Reis | Physical Therapist | 1211 Sw 132nd Ln Apt 412, Burien, WA 98146-4009 | 2014-01-06 |
| 1801226444 | Tracy Ann Grimes | Physical Therapist | 7231 Highlands Dr Ne, Olympia, WA 98516-2134 | 2013-11-18 |
| 1417391186 | Heather Elaine Sheppard | Physical Therapist | 1010 South 336th St, Suite 210, Federal Way, WA 98003 | 2013-04-24 |
| 1225338874 | Bothell Pediatric and Hand Therapy | Physical Therapist | 18501 Bothell Way Ne, Bothell, WA 98011 | 2010-10-29 |
| 1164754818 | Mary Delap Sandstrom | Physical Therapist | 956 21st Ave E, Seattle, WA 98112-3511 | 2010-02-05 |
| 1871829879 | Keri Poffel | Physical Therapist | 1309 S I St, Port Angeles, WA 98363-6830 | 2009-10-26 |
| 1518165372 | Debra Marie Robert | Physical Therapist | 835 Madison Ave North, Bainbridge Island, WA 98110 | 2007-07-03 |
| 1467540039 | Sharon Annette Hall | Physical Therapist | 14204 S Andrus Rd, Cheney, WA 99004-9059 | 2006-10-10 |
| 1013005800 | Lee Robert Skogan | Physical Therapist | 4192 Stoney Brook Ln, Bellingham, WA 98229 | 2006-10-10 |
| Find all providers with the same taxonomy | ||||
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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.