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

Kenneth Bruk Ballenger, PT

Individual provider Physical Therapist · NPI 1538270483

Kenneth Bruk Ballenger, PT is a Physical Therapist in Private Practice in Shoreline, Washington. Qualified in 1997, 29 years ago. Practices with Prevail Practices PLLC, an 11-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
29
Licensed in
WA
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

19022 Aurora Ave N Ste B
Shoreline, WA 98133-3915
Phone: (206) 788-8807
Fax: (866) 329-2785
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9725 3rd Ave Ne, Seattle, WA 98115-2060 — (206) 706-7500

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT7473 (WA)

Record details

NPI number1538270483
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESJuly 21, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Prevail Practices Pllc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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