Individual provider Active NPI

Kimberly M. Maclean, PT, DPT

  • Physical Therapist
  • Irvine, CA
National Provider Identifier
1003047689
Registry record updated May 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT35852 Issued in CA
Practice address
3500 Barranca Pkwy
Suite 220
Irvine, CA 92606-8226
Phone
(949) 265-2442
Fax
(949) 265-2448
NPI assigned
Jul 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 35852 CA
Physical Therapist 225100000X PT35852 CA Primary

Addresses

Primary practice location

3500 Barranca Pkwy
Suite 220
Irvine, CA 92606-8226

Mailing address

3500 Barranca Pkwy
Suite 220
Irvine, CA 92606-8226
Phone (949) 265-2442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091222000296 CA Practitioner - Physical Therapist in Private Practice 8224178330 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

32 Discovery
Suite 100
Irvine, CA 92618-3159
Phone (949) 271-0010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35852CAMDOptometrist
PT35852CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Coury & Buehler Physical Therapy, Inc. Physical Therapist Current Accepting new patients
Coury & Buehler Physical Therapy - Irvine, Inc. Physical Therapist CurrentSince Apr 15, 2014 Accepting new patients
Coury & Buehler Physical Therapy - Irvine, Inc. Physical Therapist CurrentSince Apr 15, 2014 Accepting new patients
Coury & Buehler Physical Therapy - Lake Forest, Inc. Physical Therapist CurrentSince Mar 1, 2016 Accepting new patients
Coury & Buehler Physical Therapy, Inc. Physical Therapist CurrentSince Apr 22, 2014 Accepting new patients
Coury & Buehler Physical Therapy - Fountain Valley, Inc. Physical Therapist CurrentSince Aug 22, 2022 Accepting new patients

Locations

755 N Shepard St
Anaheim, CA 92806
Phone (714) 630-6252

3230 E Imperial Hwy
Ste 100
Brea, CA 92821
Phone (714) 256-5074

10061 Talbert Ave
Ste 100
Fountain Valley, CA 92708
Phone (714) 632-2822

250 E Yale Loop
Ste 201
Irvine, CA 92604
Phone (949) 265-2442

32 Discovery
Ste 100
Irvine, CA 92618
Phone (949) 271-0010

3500 Barranca Pkwy
Ste 220
Irvine, CA 92606
Phone (949) 265-2442

24301 Muirlands Blvd
Ste T
Lake Forest, CA 92630
Phone (949) 271-0012

239 E Katella Ave
Orange, CA 92867
Phone (714) 538-0025

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399593600000",
    "number": "1003047689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 BARRANCA PKWY",
            "address_2": "SUITE 220",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926068226",
            "telephone_number": "949-265-2442",
            "fax_number": "949-265-2448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 BARRANCA PKWY",
            "address_2": "SUITE 220",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926068226",
            "telephone_number": "949-265-2442",
            "fax_number": "949-265-2448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACLEAN",
        "first_name": "KIMBERLY",
        "middle_name": "M.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-30",
        "last_updated": "2014-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "35852",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT35852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.