Organization Active NPI

Kadalyst Wellness and Physical Therapy Inc.

  • Physical Therapist
  • Monterey, CA
National Provider Identifier
1033773106
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
KADALYST WELLNESS AND PHYSICAL THERAPY INC.
Practice address
191 Lighthouse Ave Ste B
Monterey, CA 93940-1704
Phone
(831) 531-7177
Fax
(831) 515-8679
NPI assigned
Apr 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Authorized official

Name
Dr. Nathan Paul Kadlecek, DPTNPI 1588185532
Title
Founder
Phone
(408) 916-6670

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

191 Lighthouse Ave Ste B
Monterey, CA 93940-1704

Mailing address

740 Crocker Ave Apt 20
Pacific Grove, CA 93950-3737
Phone (408) 916-6670

National Provider Directory

National Provider Directory

Locations

191 Lighthouse Ave
Ste B
Monterey, CA 93940
Phone (831) 531-7177

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566259200000",
    "number": "1033773106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 CROCKER AVE APT 20",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939503737",
            "telephone_number": "408-916-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 LIGHTHOUSE AVE STE B",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939401704",
            "telephone_number": "831-531-7177",
            "fax_number": "831-515-8679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KADALYST WELLNESS AND PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-24",
        "last_updated": "2019-08-20",
        "status": "A",
        "authorized_official_last_name": "KADLECEK",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "408-916-6670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.