KEN WINSTON CLOMA ITOH
NPI 1760180913
Physical Therapist in Plano, TX

Active since February 17, 2023
5425 W SPRING CREEK PKWY STE 270, PLANO, TX 75024(972) 656-0431(972) 801-2191 Get Directions Write a Review

NPPES record last updated: February 17, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ken Winston Cloma Itoh NPPES

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

KEN WINSTON CLOMA ITOH (NPI 1760180913) is an individual physical therapist in Plano, Texas, licensed in Texas (1368766) and active in the NPI registry since February 2023. He is a graduate of Other (2014).

NPPES Registry Identity

NPI1760180913
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameKEN WINSTON CLOMA ITOH
Location Address5425 W SPRING CREEK PKWY STE 270Plano, TX 75024-4317
Mailing Address4912 Haverwood Ln Apt 911dDallas, TX 75287-4422 · (575) 631-0277
Fax(972) 801-2191
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateFebruary 17, 2023
NPPES CertifiedFebruary 17, 2023
✔ NPI 1760180913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Licenses✔ Licensed in TX · 1368766✔ Licensed in NM · PT6177
Definition
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:
  • 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.
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.
5425 W SPRING CREEK PKWY STE 270, Plano, TX 75024

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ken Winston Cloma Itoh is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608343678
PECOS Enrollment IDI20260427003372

Medicare Billing Reassignment

Medicare enrollment records show Ken Winston Itoh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
127 W BROAD ST
Lake Charles, LA 70601
  • Reassigned Medicare billing, Texas enrollment
  • 145 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 2

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

Physical Therapist
5425 W SPRING CREEK PKWY STE 270
PLANO, TX 75024
Physical Therapist
5425 W SPRING CREEK PKWY STE 270
PLANO, TX 75024

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 Ken Winston Itoh's NPI number?

The NPI number for Ken Winston Itoh is 1760180913. It was assigned to this individual provider in the NPPES registry on February 17, 2023.

Where is Ken Winston Itoh located?

Ken Winston Itoh practices at 5425 W Spring Creek Pkwy Ste 270, Plano, TX 75024. The listed phone number is (972) 656-0431.

What is Ken Winston Itoh's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Ken Winston Itoh enrolled in Medicare?

Yes. Ken Winston Itoh is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ken Winston Itoh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ken Winston Itoh reassigns Medicare benefits to Synergy Care Southeast, LLC (Lake Charles, LA). 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 Ken Winston Itoh'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 Ken Winston Itoh was last updated on February 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.