Active NPI
Kimberly Kirton Fuselier, PT
- Physical Therapist
- Yorba Linda, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT28620
- Practice address
- 18200 Yorba Linda Blvd
Suite 308
Yorba Linda, CA 92886-4056 - Phone
- (714) 646-8070
- Fax
- (714) 982-5135
- NPI assigned
- Jan 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT28620 | CA | Primary |
Addresses
Primary practice location
18200 Yorba Linda Blvd
Suite 308
Yorba Linda, CA 92886-4056
Mailing address
18873 Dry Creek Rd
Yorba Linda, CA 92886-4164
Phone (714) 559-0885
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
25431 Cabot Rd
Suite 118
Laguna Hills, CA 92653-5527
Phone (949) 362-8877
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28620 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mesisca Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| California Luna Care Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Back2 Health Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Performance Health Medical Group, Inc | Current | Accepting new patients | |
| Lifetime Physical Therapy and Fitness Inc | Physical Therapist | Current | Accepting new patients |
| JM Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
| Central Occupational Medicine Providers Ontario Inc | Past | Accepting new patients |
Locations
930 W Alameda Ave
Burbank, CA 91506
Phone (818) 588-3880
12 Mauchly
Ste A
Irvine, CA 92618
Phone (949) 288-4235
25431 Cabot Rd
Ste 118
Laguna Hills, CA 92653
Phone (949) 362-8877
16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Laguna Hills, CA
- NPI 1093896862
-
- Physical Medicine & Rehabilitation Physician
- Los Angeles, CA
- NPI 1053419408
Physical Therapist
-
- Physical Therapist
- Los Gatos, CA
- NPI 1689162166
-
- Physical Therapy Clinic/Center
- Yorba Linda, CA
- NPI 1649424425
Physical Therapist
-
- Geriatric Physical Therapist
- Laguna Niguel, CA
- NPI 1821104472
-
- Occupational Medicine Clinic/Center
- Riverside, CA
- NPI 1972861797
-
- Physical Therapist
- Laguna Niguel, CA
- NPI 1558658336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651536000000",
"number": "1063483899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18873 DRY CREEK RD",
"city": "YORBA LINDA",
"state": "CA",
"postal_code": "928864164",
"telephone_number": "714-559-0885",
"fax_number": "714-982-5135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18200 YORBA LINDA BLVD",
"address_2": "SUITE 308",
"city": "YORBA LINDA",
"state": "CA",
"postal_code": "928864056",
"telephone_number": "714-646-8070",
"fax_number": "714-982-5135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUSELIER",
"first_name": "KIMBERLY",
"middle_name": "KIRTON",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-30",
"last_updated": "2022-05-03",
"certification_date": "2022-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT28620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yorba Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.