Zach Kiyuna, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

10218 Issued in OR

Practice address

120 Shelton McMurphey Blvd Ste 300
Eugene, OR 97401-8718

Phone

(458) 210-2940

NPI assigned

Aug 29, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17276/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1043095854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 SHELTON MCMURPHEY BLVD STE 300",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974018718",
            "telephone_number": "458-210-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SHELTON MCMURPHEY BLVD STE 300",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974018718",
            "telephone_number": "458-210-2940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIYUNA",
        "first_name": "ZACH",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OR",
            "license": "10218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Arlene Kitzhaber, M.S.P.T.
• Kaycie Kitzmiller
• Aron Kivel, DDS
• Kiya Movassaghi MD. P.C.
• Corey Kiyabu
• Tamera L Kjar, LMT
• Makenna Kjellberg
• Dale Rae Kjonaas
• Nadav Shlomo Klappholz-Compton
• KLC Behavioral Health and Wellness LLC

• Physical Therapy Assistant in Eugene, OR
• Providers in Eugene, OR by specialty
• Physical Therapy Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.