| Kenneth King, DPT | |
| 5 Pequot Park Rd Ste 102, Westbrook, CT 06498-2856 | |
| (860) 399-6411 | |
| Not Available | 
| Full Name | Kenneth King | 
|---|---|
| Gender | Male | 
| Speciality | Physical Therapist | 
| Location | 5 Pequot Park Rd Ste 102, Westbrook, Connecticut | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1548738941 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225100000X | Physical Therapist | 12069 (Connecticut) | Primary | 
| Provider Name | Ivyrehab Connecticut Inc | 
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice | 
| Provider Identifiers | NPI Number: 1265799365 PECOS PAC ID: 8325203649 Enrollment ID: O20120711000223 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kenneth King, DPT 47 N Main St, West Hartford, CT 06107-1926 Ph: (860) 409-4459 | Kenneth King, DPT 5 Pequot Park Rd Ste 102, Westbrook, CT 06498-2856 Ph: (860) 399-6411 | 
| Brittany Kearney,  Physical Therapist Medicare: Medicare Enrolled Practice Location: 5 Pequot Park Rd Ste 102, Westbrook, CT 06498 Phone: 860-399-6411 | |
| Kevin Smith,  Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5 Pequot Park Rd, Suite 303, Westbrook, CT 06498 Phone: 860-399-6411 Fax: 860-399-6822 | |
| Meagan Hoffman, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5 Pequot Park Rd, Suite 102, Westbrook, CT 06498 Phone: 860-399-6411 Fax: 860-399-6822 | |
| Rachel Barr,  Physical Therapist Medicare: Medicare Enrolled Practice Location: 5 Pequot Park Rd Ste 102, Westbrook, CT 06498 Phone: 860-399-6411 | |
| Suhani Patel,  Physical Therapist Medicare: Medicare Enrolled Practice Location: 5 Pequot Park Rd Ste 102, Westbrook, CT 06498 Phone: 860-399-6411 Fax: 860-399-6822 | |
| Jaclyn Skirkanich,  Physical Therapist Medicare: Medicare Enrolled Practice Location: 5 Pequot Park Rd Ste 102, Westbrook, CT 06498 Phone: 860-399-6411 Fax: 860-399-6822 |