MR. KENNETH-ALBERT FABABAER VALENZUELA PT
NPI 1558779876
Physical Therapist in Neosho, MO
About Mr. Kenneth-albert Fababaer Valenzuela Pt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. KENNETH-ALBERT FABABAER VALENZUELA PT (NPI 1558779876) is an individual physical therapist in Neosho, Missouri, licensed in Illinois (070020735) and active in the NPI registry since July 2014. He maintains a secondary practice location in Forest Park.
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- 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.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Kenneth-albert Fababaer Valenzuela Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kenneth-albert Valenzuela reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Oak Park, IL 60302
- Reassigned Medicare billing, Illinois enrollment
- 99 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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 Kenneth-albert Valenzuela's NPI number?
The NPI number for Kenneth-albert Valenzuela is 1558779876. It was assigned to this individual provider in the NPPES registry on July 30, 2014.
Where is Kenneth-albert Valenzuela located?
Kenneth-albert Valenzuela practices at 1105 Village Rd, Neosho, MO 64850. The listed phone number is (800) 381-0822.
What is Kenneth-albert Valenzuela's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Kenneth-albert Valenzuela enrolled in Medicare?
Yes. Kenneth-albert Valenzuela is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kenneth-albert Valenzuela's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth-albert Valenzuela reassigns Medicare benefits to Paxxon Healthcare Services LLC (Oak Park, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenneth-albert Valenzuela's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kenneth-albert Valenzuela was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.