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

Kenneth John Ackerman

Individual provider Physical Therapist · NPI 1992812135

Kenneth John Ackerman is a Physical Therapist in Gulfport, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.

Licensed in
MS
In the registry since
2006

Practice location Address checks out

9471 Three Rivers Rd Ste D
Gulfport, MS 39503-4230
Phone: (228) 822-9066
Fax: (228) 822-9722
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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 PT2298 (MS)

Record details

NPI number1992812135
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 24, 2006
Last updated in NPPESJune 25, 2021
Certification dateJune 25, 2021
Mailing address9471 Three Rivers Rd Ste D, Gulfport, MS 39503-4230

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