FREDERICK DOUGLAS II KING (PHD PT) – Physical Therapist, NPI 1821083676

FREDERICK DOUGLAS II KING (PHD PT) is a healthcare provider. based in Camarillo, California. specializing in Physical Therapist. They hold the professional credentials PHD PT. They hold a License No. PT005390 (CA). The NPI Number for FREDERICK DOUGLAS II KING (PHD PT) is 1821083676

Main info

Male
57 Years Of Experience
Accepts Medicare Assignment
Name
FREDERICK DOUGLAS II KING (PHD PT)
NPI
1821083676
Phone
(805) 484-5447
Address
2486 N PONDEROSA DR
Enumeration Date
19 September 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8054845447
Graduation Year
1969 (57 years ago)
PAC ID
9032159256
Group Practice PAC ID
0345343372
Professional Enrollment ID
I20081208000520
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for FREDERICK DOUGLAS II KING (PHD PT)

  • 2486, North Ponderosa Drive, Camarillo, Ventura County, California, 93010, United States

    STE D106

    CAMARILLO, CA 930102376

    Phone: (805) 484-5447

    Fax: (805) 484-2158

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 93010)

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Provider's Procedures

FREDERICK DOUGLAS II KING (PHD PT) performs procedures in Physical Therapist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYCA97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes38972

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Frequently asked questions

What number should I use to identify FREDERICK DOUGLAS II KING (PHD PT) for billing?
Administrative and clinical systems typically use NPI 1821083676 for FREDERICK DOUGLAS II KING (PHD PT).
Is FREDERICK DOUGLAS II KING (PHD PT) currently accepting referrals based on NPI status?
Registry metadata lists FREDERICK DOUGLAS II KING (PHD PT) as active.
Which specialty label fits FREDERICK DOUGLAS II KING (PHD PT)?
NPPES ties FREDERICK DOUGLAS II KING (PHD PT) to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit FREDERICK DOUGLAS II KING (PHD PT) in Camarillo, California?
For routing, start with Camarillo, California for FREDERICK DOUGLAS II KING (PHD PT), then verify phone and hours locally.
Can I export FREDERICK DOUGLAS II KING (PHD PT)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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