KENNETH POOA – Physical Therapist, NPI 1932875614

KENNETH POOA is a healthcare provider. based in Davie, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 37219 (FL). The NPI Number for KENNETH POOA is 1932875614

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH POOA
NPI
1932875614
Phone
(917) 952-0333
Address
2510 SW 81ST AVE APT 205
Enumeration Date
21 August 2021
Last Update Date
7 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5614959511
Graduation Year
2021 (5 years ago)
PAC ID
6800268087
Group Practice PAC ID
8426402819
Professional Enrollment ID
I20230216001764
Address ID
FL334316464BO670XXRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:4State licenses:1Digital endpointsOther names

4,633 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for KENNETH POOA

  • 2510 SW 81ST AVE APT 205

    DAVIE, FL 333245788

    Phone: (917) 952-0333

    Type: Mailing

  • 670 GLADES RD STE 200

    BOCA RATON, FL 334316464

    Phone: (561) 495-9511

    Fax: (561) 990-7426

    Type: Location

  • 8120 W BROWARD BLVD

    PLANTATION, FL 333242012

    Phone: (917) 952-0333

    Type: Location

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.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-02-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230216001764IPhysical Therapist In Private PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes29926$0
97116Therapy procedure for walking training, each 15 minutes27132$0
97530Therapy procedure using functional activities22927$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes16626$0
View full utilization report →

Insurance plans in this area (ZIP 33324)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8426402819View full group profile
NameSpecialtyState
Nurse PractitionerTN
Physician AssistantFL
Physician AssistantFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physician AssistantFL
Physician AssistantFL
Orthopedic SurgeryCA
Interventional Pain Management, AnesthesiologyFL
Orthopedic SurgeryFL

Reviews

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Frequently asked questions

Does KENNETH POOA have a public NPI I can cite?
Public records show KENNETH POOA under NPI 1932875614.
Should I treat KENNETH POOA as an active provider?
Patients and plans typically see KENNETH POOA as active in the national extract.
What type of care does KENNETH POOA provide?
KENNETH POOA's profile centers on Physical Therapist. Clinical services aligned with this taxonomy classification.
Is KENNETH POOA tied to Davie, Florida?
If you are local to Davie, Florida, KENNETH POOA may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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