KENNY GASTON
NPI 1205302973
Student in an Organized Health Care Education/Training Program in Mitchellville, MD

Active since October 19, 2018Accepts Medicare Assignment
12158 CENTRAL AVE, MITCHELLVILLE, MD 20721(301) 430-2750 Get Directions Write a Review

NPPES record last updated: October 19, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kenny Gaston NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNY GASTON (NPI 1205302973) is an individual student in an organized health care education/training program in Mitchellville, Maryland and active in the NPI registry since October 2018. He is a graduate of Other (2019).

NPPES Registry Identity

NPI1205302973
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKENNY GASTON
Location Address12158 CENTRAL AVEMitchellville, MD 20721-1932
Mailing Address1306 Twig TerSilver Spring, MD 20905-7038
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 19, 2018
NPI 1205302973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
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.
12158 CENTRAL AVE, Mitchellville, MD 20721

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kenny Gaston is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284064445
PECOS Enrollment IDI20200501000060, I20230313000697

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using water pool to exercises, each 15 minutes 97113
This therapy involves exercising in a water pool for 15-minute intervals. The buoyancy of the water supports your body, reducing stress on joints and muscles. It's beneficial for improving strength, flexibility, and balance. It's a gentle, low-impact form of exercise suitable for all ages.
1,500 services23 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
1,114 services52 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
1,064 services54 patients
Re-evaluation for physical therapy, typically 20 minutes 97164
A re-evaluation for physical therapy is a 20-minute session where your progress is assessed. Your physical therapist will check your current condition, compare it to previous records, and adjust your treatment plan if needed. This ensures your therapy remains effective and tailored to your needs.
94 services32 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
24 services23 patients
Evaluation for physical therapy, typically 30 minutes 97162
An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.
16 services16 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapy Assistant
12158 CENTRAL AVE
MITCHELLVILLE, MD 20721
Student in an Organized Health Care Education/Training Program
12158 CENTRAL AVE
MITCHELLVILLE, MD 20721
Occupational Therapist
12158 CENTRAL AVE
MITCHELLVILLE, MD 20721
Student in an Organized Health Care Education/Training Program
12158 CENTRAL AVE
MITCHELLVILLE, MD 20721
Student in an Organized Health Care Education/Training Program
12158 CENTRAL AVE
MITCHELLVILLE, MD 20721
Student in an Organized Health Care Education/Training Program
12158 CENTRAL AVE
MITCHELLVILLE, MD 20721
Occupational Therapist
12158 CENTRAL AVE
MITCHELLVILLE, MD 20721
Physical Therapist
12158 CENTRAL AVE
MITCHELLVILLE, MD 20721

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenny Gaston's NPI number?

The NPI number for Kenny Gaston is 1205302973. It was assigned to this individual provider in the NPPES registry on October 19, 2018.

Where is Kenny Gaston located?

Kenny Gaston practices at 12158 Central Ave, Mitchellville, MD 20721. The listed phone number is (301) 430-2750.

What is Kenny Gaston's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kenny Gaston enrolled in Medicare?

Yes. Kenny Gaston is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kenny Gaston was last updated on October 19, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.