Kenneth Wayne Waters, PT, MBA
NPI 1184837064ActiveIndividual· Physical Therapist· Broken Arrow, OK
Physical Therapist (PT, MBA) in Broken Arrow, Oklahoma, licensed in OK, with an NPI issued in May 2007.
Overview
| NPI | 1184837064 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, MBA |
| Sole proprietor | No |
| NPI issued | May 8, 2007 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT 1396 | OK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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