Kenneth Bruk Ballenger, PT | |
19022 Aurora Ave N Ste B, Shoreline, WA 98133-3915 | |
(206) 788-8807 | |
(866) 329-2785 |
Full Name | Kenneth Bruk Ballenger |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 27 Years |
Location | 19022 Aurora Ave N Ste B, Shoreline, 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 |
---|---|---|---|
1538270483 | NPI | - | NPPES |
165921 | Other | WA | WA STATE L&I |
8331621 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT7473 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Prevail Practices Pllc | 2163781634 | 10 |
Provider Name | Prevail Practices Pllc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1740723915 PECOS PAC ID: 2163781634 Enrollment ID: O20180109002747 |
Mailing Address | Practice Location Address |
---|---|
Kenneth Bruk Ballenger, PT 23636 Highway 99, Suite F, Edmonds, WA 98026 Ph: (206) 788-8807 | Kenneth Bruk Ballenger, PT 19022 Aurora Ave N Ste B, Shoreline, WA 98133-3915 Ph: (206) 788-8807 |
Zan Williams, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19549 Burke Ave N, Shoreline, WA 98133 Phone: 206-310-4389 | |
Mark Woods, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19500 Ballinger Way Ne Ste 110, Shoreline, WA 98155 Phone: 206-333-4047 | |
Devin Langaker, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 19500 Ballinger Way Ne Ste 110, Shoreline, WA 98155 Phone: 206-333-4047 | |
Jamie Maloy, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20109 Aurora Ave N Ste 105, Shoreline, WA 98133 Phone: 206-801-7546 | |
Dawn Dolobowsky, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1227 N 205th St, Shoreline, WA 98133 Phone: 206-546-2220 | |
Grace Fuk Wai Ma, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19235 15th Ave Nw, Shoreline, WA 98177 Phone: 206-546-2666 | |
Motus Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20109 Aurora Ave N Ste 105, Shoreline, WA 98133 Phone: 206-801-7546 Fax: 206-801-7547 |