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

Kenneth Panganiban, PTA

Individual provider Massage Therapist · NPI 1124418934

Kenneth Panganiban, PTA is a Massage Therapist in Ponte Vedra Beach, Florida. Licensed in Florida. Registered with an NPI since 2015.

Licensed in
FL
In the registry since
2015
Specialties on file
2
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

232 Ponte Vedra Park Dr
Ponte Vedra Beach, FL 32082-6600
Phone: (904) 634-0640
Fax: (904) 634-0203
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA25367 (FL)
Massage Therapist Taxonomy 225700000X · Licence MA59111 (FL)

Record details

NPI number1124418934
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedFebruary 1, 2015
Last updated in NPPESAugust 11, 2017

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