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

Mr. Kevin L. Outwater Sr., PT, ATC

Individual provider Physical Therapist · NPI 1114922556

Mr. Kevin L. Outwater Sr., PT, ATC is a Physical Therapist in Private Practice in Fairlawn, Ohio. Qualified in 1982, 44 years ago. Practices with PT Center LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
44
Licensed in
OH
In the registry since
2005
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

2660 W Market St Ste 300
Fairlawn, OH 44333-4202
Phone: (330) 869-2635
Fax: (330) 869-8315
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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 PT-04320 (OH)

Record details

NPI number1114922556
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , ATC
Sole proprietorYes
NPI enumeratedJune 14, 2005
Last updated in NPPESOctober 24, 2007

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1982 (44 years in practice)
Group practice Pt Center Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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