Individual provider Active NPI

Ken Ivan Bariel, P.T.

  • Physical Therapist
  • Cambria, CA
National Provider Identifier
1063501229
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT5574 Issued in CA
Practice address
900 Main St
Cambria, CA 93428-2820
Phone
(805) 924-1605
Fax
(805) 924-1603
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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 PT5574 CA Primary

Addresses

Primary practice location

900 Main St
Cambria, CA 93428-2820

Mailing address

900 Main St
Cambria, CA 93428-2820
Phone (805) 924-1605

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070810000769 CA Practitioner - Physical Therapist in Private Practice 9335230929 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McCain Physical Therapy Inc 6 clinicians

Practice addresses (Care Compare)

4070 W St
Cambria, CA 93428-3023
Phone (805) 927-1055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT5574CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
McCain Physical Therapy Inc. Physical Therapist CurrentSince Oct 4, 2023 Accepting new patients
Cambria Community Rehabilitation, Inc. Physical Therapist CurrentSince Jan 12, 2025 Accepting new patients

Locations

4070 West St
Cambria, CA 93428
Phone (805) 440-3225

900 Main St
Cambria, CA 93428
Phone (805) 924-1605

Organizations & group practices 3

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1063501229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 MAIN ST",
            "city": "CAMBRIA",
            "state": "CA",
            "postal_code": "934282820",
            "telephone_number": "805-924-1605",
            "fax_number": "805-924-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MAIN ST",
            "city": "CAMBRIA",
            "state": "CA",
            "postal_code": "934282820",
            "telephone_number": "805-924-1605",
            "fax_number": "805-924-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARIEL",
        "first_name": "KEN",
        "middle_name": "IVAN",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT5574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.