Individual provider Active NPI

Kevin Vincent Hartsough

  • Physical Therapist
  • Irvine, CA
National Provider Identifier
1033672373
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
296254 Issued in CA
Practice address
250 E Yale Loop Ste 201
Irvine, CA 92604-4697
Phone
(949) 265-2442
NPI assigned
Apr 12, 2019
Last updated
Apr 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 296254 CA Primary

Addresses

Primary practice location

250 E Yale Loop Ste 201
Irvine, CA 92604-4697

Mailing address

3230 E Imperial Hwy Ste 100
Brea, CA 92821-6735
Phone (714) 988-8110

Other practice location 1

68 Willow Rd
Menlo Park, CA 94025-3653
Phone (866) 839-6979

Other practice location 2

2820 N Bellflower Blvd
Long Beach, CA 90815-1125
Phone (562) 384-4525

Other practice location 3

3230 E Imperial Hwy Ste 100
Brea, CA 92821-6735
Phone (714) 256-5074

Other practice location 4

3300 Irvine Ave Ste 130
Newport Beach, CA 92660-3119
Phone (949) 271-0053

Other practice location 5

13931 Carroll Way Ste B
Tustin, CA 92780-1861
Phone (714) 988-8120

Other practice location 6

24301 Muirlands Blvd Ste T
Lake Forest, CA 92630-3627
Phone (949) 271-0012

Other practice location 7

755 N Shepard St
Anaheim, CA 92806-2836
Phone (714) 630-6252

Other practice location 8

239 E Katella Ave
Orange, CA 92867-4853
Phone (714) 538-0025

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191111000546 CA Practitioner - Physical Therapist in Private Practice 2163854324 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Coury & Buehler Physical Therapy - Irvine, Inc. Physical Therapist CurrentSince Apr 6, 2021 Accepting new patients
Coury & Buehler Physical Therapy, Inc. Physical Therapist CurrentSince Apr 6, 2021 Accepting new patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Nov 12, 2019 Accepting new patients
Coury & Buehler Physical Therapy, Inc. Physical Therapist CurrentSince Apr 6, 2021 Accepting new patients
Coury & Buehler Physical Therapy - Irvine, Inc. Physical Therapist CurrentSince Apr 6, 2021 Accepting new patients
Coury & Buehler Physical Therapy, Inc. Physical Therapist Current 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

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

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

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108

68 Willow Rd
Menlo Park, CA 94025
Phone (650) 691-8630

3300 Irvine Ave
Ste 130
Newport Beach, CA 92660
Phone (949) 271-0053

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1033672373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 E IMPERIAL HWY STE 100",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928216735",
            "telephone_number": "714-988-8110",
            "fax_number": "714-988-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 E YALE LOOP STE 201",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044697",
            "telephone_number": "949-265-2442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "68 Willow Rd",
            "address_purpose": "LOCATION",
            "city": "Menlo Park",
            "state": "CA",
            "postal_code": "940253653",
            "country_code": "US",
            "telephone_number": "866-839-6979",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2820 N Bellflower Blvd",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908151125",
            "country_code": "US",
            "telephone_number": "562-384-4525",
            "fax_number": "562-384-4524",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3230 E Imperial Hwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Brea",
            "state": "CA",
            "postal_code": "928216735",
            "country_code": "US",
            "telephone_number": "714-256-5074",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 Irvine Ave Ste 130",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926603119",
            "country_code": "US",
            "telephone_number": "949-271-0053",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13931 Carroll Way Ste B",
            "address_purpose": "LOCATION",
            "city": "Tustin",
            "state": "CA",
            "postal_code": "927801861",
            "country_code": "US",
            "telephone_number": "714-988-8120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24301 Muirlands Blvd Ste T",
            "address_purpose": "LOCATION",
            "city": "Lake Forest",
            "state": "CA",
            "postal_code": "926303627",
            "country_code": "US",
            "telephone_number": "949-271-0012",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "755 N Shepard St",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928062836",
            "country_code": "US",
            "telephone_number": "714-630-6252",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "239 E Katella Ave",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928674853",
            "country_code": "US",
            "telephone_number": "714-538-0025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTSOUGH",
        "first_name": "KEVIN",
        "middle_name": "VINCENT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-12",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "296254",
            "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 Apr 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.