| Mr Cody Thomas Kenison, DPT | |
|
201 W North River Dr, Suite 510, Spokane, WA 99201-2284 | |
| (509) 323-0066 | |
| (509) 323-0067 |
| Full Name | Mr Cody Thomas Kenison |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 19 Years |
| Location | 201 W North River Dr, Spokane, Washington |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215131529 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT60099101 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Summit Rehabilitation Associates, Pllc | 8325937642 | 33 |
| Provider Name | Integrated Rehabilitation Group PC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1154369833 PECOS PAC ID: 0042111718 Enrollment ID: O20040115000944 |
| Provider Name | Summit Rehabilitation Associates, PLLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1467571513 PECOS PAC ID: 8325937642 Enrollment ID: O20040315000178 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Cody Thomas Kenison, DPT 4220 132nd St Se, Suite101, Mill Creek, WA 98012-8999 Ph: (425) 357-9380 | Mr Cody Thomas Kenison, DPT 201 W North River Dr, Suite 510, Spokane, WA 99201-2284 Ph: (509) 323-0066 |
Brian Kinder, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 711 S Cowley St, Spokane, WA 99202 Phone: 509-473-9920 |
Meghan K Fitzgerald, BS MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1403 S Grand Blvd, Suite #102-s, Spokane, WA 99203 Phone: 509-624-4200 Fax: 509-624-2817 |
Shirley Joanne Carlson, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2118 W Garland Ave, Spokane, WA 99205 Phone: 509-326-1651 Fax: 509-326-1658 |
Michael Dean Swanson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 785 E Holland Ave, Spokane, WA 99218 Phone: 509-466-6393 Fax: 509-466-5163 |
Christy J Frazier, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1111 E Westview Ct, Suite A, Spokane, WA 99218 Phone: 509-465-1749 Fax: 509-465-1748 |
Lianna Jeanne Philbin, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1812 N Wall St, Spokane, WA 99205 Phone: 509-328-6030 |
Dr. Alec Webbenhurst, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1224 E Westview Ct, Spokane, WA 99218 Phone: 509-465-8800 |