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Kenneth Bruk Ballenger, PT

NPI 1538270483ActiveIndividual· Physical Therapist· Shoreline, WA

Physical Therapist (PT) with Prevail Practices PLLC, practicing in Shoreline, Washington. Medicare paid $17,746 for services to 33 patients in 2024.

Overview

NPI1538270483
StatusActive
Entity typeIndividual
CredentialPT
Sole proprietorNo
NPI issuedAug 31, 2006
Last updated in NPPESJul 21, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000XPT7473WA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physical Therapist in Private Practice (WA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients33
Services billed761 across 10 procedure codes
Paid by Medicare$17,746

Medicare sources and data years

Education and affiliations

Graduation year1997
Medicare specialtyPhysical Therapist In Private Practice

Medical group

Source: CMS Care Compare

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