Mr. Kenneth P Stack, PT,MS,CSCS
Orthopedic Physical Therapist in Raleigh, North Carolina
NPI 1346230489
Kenneth P Stack is a Orthopedic Physical Therapist based in Raleigh, NC and is specialized in Orthopedic. Kenneth P Stack practices in Raleigh, NC and has the professional credentials of PT,MS,CSCS. The NPI Number for Kenneth P Stack is 1346230489 and holds a License No. 8899 (North Carolina).
The current practice location address for Kenneth P Stack is 115 S Saint Marys St, Raleigh, NC and can be reached out via phone at 800-362-0903 and via fax at 866-434-5096.
Location: 115 S Saint Marys St, Raleigh, NC, 27610-4443
Provider Profile Details
NPI Number
1346230489
Provider Name
Kenneth P Stack
Credential
PT,MS,CSCS
Provider Entity Type
Individual
Gender
Male
Address
115 S Saint Marys St, Raleigh, NC, 27610-4443
Phone Number
800-362-0903
Fax Number
866-434-5096
Provider Enumeration Date
10/27/2005
Last Update Date
03/08/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11337022 | 01 | CAQH | |
| 7212592 | 05 | NC | |
| 078V4 | 01 | NC | BCBS |
Provider Business Practice Location Address Details
Address
115 S Saint Marys St
City
State
Zip
27603-1785
Phone Number
800-362-0903
Fax Number
866-434-5096
Provider Business Mailing Address Details
Address
115 S Saint Marys St
City
State
Zip
27603-1785
Phone Number
800-362-0903
Fax Number
866-434-5096
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
-
Taxonomy
License No.
8899 (North Carolina)
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: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.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. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.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.
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Geriatrics
Taxonomy
License No.
8899 (North Carolina)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult.
Provider's Taxonomy Details 3
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Sports
Taxonomy
License No.
8899 (North Carolina)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.
Provider's Taxonomy Details 4
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Orthopedic
Taxonomy
License No.
8899 (North Carolina)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
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