Provider Demographics
NPI:1245307537
Name:BIGBIE, KENNETH C (PT)
Entity type:Individual
Prefix:MR
First Name:KENNETH
Middle Name:C
Last Name:BIGBIE
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1751 VETERANS DR STE 300
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35630-4930
Mailing Address - Country:US
Mailing Address - Phone:256-764-9304
Mailing Address - Fax:256-764-9304
Practice Address - Street 1:1751 VETERANS DR STE 300
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630-4930
Practice Address - Country:US
Practice Address - Phone:256-764-9304
Practice Address - Fax:256-764-9343
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0179911225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL178003Medicaid
167554OtherVYTRA
194473OtherUNITED HEALTH NETWORKS
200792704OtherTHE EMPIRE PLAN UHC
200792704OtherMAGNACARE
P3492560OtherOXFORD
XC8425OtherHEALTHNET
7363658OtherAETNA PPO POS
Q10P51OtherEMPIRE BLUE CROSS BLUE SH
2003587OtherCIGNA PPO
3633311OtherAETNA HMO
6697152OtherGHI PPO
87966OtherGHI HMO
A200810OtherMDNY
43210OtherCIGNA HMO ORTHONET
200792704Other1199 SEIU NATL BENEFIT FU
200792704OtherISLAND GROUP ADMINISTRATI
5607714OtherFIRST HEALTH
Q10P51OtherEMPIRE BLUE CROSS BLUE SH
194473OtherUNITED HEALTH NETWORKS