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Deactivated NPI 1790159929 Deactivated / Inactive NPI Male Practitioner

Dr. Stephen Kornbluth , PT, DPT

Physical Therapist • Kent, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Stephen Kornbluth has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 27, 2015
NPI Deactivation Date September 13, 2018
Total Practice Duration ~3 Years of Practice (2015 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Kornbluth, PT, DPT was a registered Physical Therapist practicing in Kent, WA. Throughout an active medical career spanning 3 years, Dr. Kornbluth provided care at the practice location at 25012 104TH AVE SE until profile deactivation on 2018-09-13.

Historical Medicare Part B clinical services included therapy procedure using functional activities, evaluation of physical therapy, therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

25012 104th Ave Se
Suite C

Kent, WA 980302821

Telephone 2538563477
Fax 2538563478
Associated Practice Facility / Clinic
🏢 Apple Physical Therapy Llc Facility NPI 1629100250

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Kent, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.5 Yrs
State Avg: 16.3 Yrs
Regional Practice Density
97 Specialists

Practicing in Kent, WA (7580 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
59.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97530 Therapy procedure using functional activities
112 20 $91.68 $36.49
97161 Evaluation of physical therapy, typically 20 minutes
14 14 $223.00 $91.18

Medical Specialties & State Licenses

Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License WA PT60604706

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Hye Kim , OTR, L, CHT

Occupational Therapist

NPI 1003092149

Occupational Therapist Registered, L, Certified Hand Therapist

Lakisha Dickens , LMP

Massage Therapist

NPI 1013284793

Licensed Massage Practitioner

Sarah Bartholomew , PT

Physical Therapist

NPI 1023483872

Physical Therapist

Sarah Kjorstad , MPT

Physical Therapist

NPI 1114002474

Master of Physical Therapy

NPI 1134824204

Doctor of Physical Therapy

Dr. Roger Castro , PT, DPT

Physical Therapist

NPI 1194443861

Physical Therapist, Doctor of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 13, 2018

Record deactivated on September 13, 2018

NPI Profile Active August 18, 2016

NPI status registered as active in NPPES database

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Updated Practice Location August 18, 2016

Registered at 25012 104TH AVE SE, SUITE C, KENT, WA 980302821 (Tel: 2538563477)

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Updated Business Mailing Address August 18, 2016

Registered at 790 REMINGTON BLVD, BOLINGBROOK, IL 604404909 (Tel: 6302962222)

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Provider Name / Credentials Updated August 18, 2016

Recorded as STEPHEN KORNBLUTH, PT, DPT

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2016

Physical Therapist (License #PT60604706 in WA)

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Initial NPI Registration & Enumeration November 27, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790159929
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 27, 2015
Last Update: August 18, 2016
Deactivation Date: September 13, 2018

Mailing Address

790 Remington Blvd

Bolingbrook, IL 604404909

Phone: 6302962222

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.