NPI Information

  • NPI: 1205302973
  • Provider Name: KENNY GASTON
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • Address: 12158 CENTRAL AVE
    MITCHELLVILLE, MD
    ZIP 20721
  • Phone: (301) 430-2750

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NPI Details

Kenny Gaston is a student in an organized health care education training program in Mitchellville, MD with 7 years of experience. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Kenny Gaston NPI is 1205302973. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12158 CENTRAL AVE
MITCHELLVILLE, MD
ZIP 20721-932
Phone: (301) 430-2750

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes (HCPCS:97110)
  • Therapy procedure using water pool to exercises, each 15 minutes (HCPCS:97113)
  • Therapy procedure using manual technique, each 15 minutes (HCPCS:97140)
  • Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care (HCPCS:G0283)
  • Re-evaluation for physical therapy, typically 20 minutes (HCPCS:97164)
  • Application of mechanical traction (HCPCS:97012)
  • Evaluation for physical therapy, typically 30 minutes (HCPCS:97162)
  • Evaluation for physical therapy, typically 20 minutes (HCPCS:97161)

The enumeration date for this NPI number is 10/19/2018 and was last updated on 10/19/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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