Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ken Winston Cloma Itoh

Individual provider Physical Therapist · NPI 1760180913

Ken Winston Cloma Itoh is a Physical Therapist in Private Practice in Plano, Texas. Qualified in 2014, 12 years ago. Practices as a sole proprietor. Licensed in New Mexico and Texas.

Years since qualifying
12
Licensed in
NM, TX
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

5425 W Spring Creek Pkwy Ste 270
Plano, TX 75024-4317
Phone: (972) 656-0431
Fax: (972) 801-2191
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1368766 (TX)
Physical Therapist Taxonomy 225100000X · Licence PT6177 (NM)

Record details

NPI number1760180913
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 17, 2023
Last updated in NPPESFebruary 17, 2023
Certification dateFebruary 17, 2023
Mailing address4912 Haverwood Ln Apt 911d, Dallas, TX 75287-4422

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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