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

Kenneth Repp, PTA

Individual provider Physical Therapy Assistant · NPI 1982949913

Kenneth Repp, PTA is a Physical Therapy Assistant in Surprise, Arizona. Licensed in Arizona. Registered with an NPI since 2012.

Licensed in
AZ
In the registry since
2012
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

14800 W Mountain View Blvd Ste 260
Surprise, AZ 85374-4795
Phone: (623) 556-5013
Fax: (623) 556-9290
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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 5491A (AZ)

Record details

NPI number1982949913
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedDecember 3, 2012
Last updated in NPPESDecember 30, 2016
Mailing address14800 W Mountain View Blvd, Suite 260, Surprise, AZ 85374-4795

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