Timothy Frederick Kuenn, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

WPT15184B Issued in CA

Practice address

2814 Camino Dos Rios Ste 406
Newbury Park, CA 91320-1156

Phone

(805) 375-1461

Fax

(805) 498-7613

NPI assigned

Sep 25, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Newbury Park Physical Therapy IncGroup PAC ID 6204817596, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Newbury Park Physical Therapy Inc.

  • Physical Therapy Clinic/Center
  • Newbury Park, CA
  • NPI 1417046053
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063513083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2814 CAMINO DOS RIOS STE 406",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913201156",
            "telephone_number": "805-375-1461",
            "fax_number": "805-498-7613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2814 CAMINO DOS RIOS STE 406",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913201156",
            "telephone_number": "805-375-1461",
            "fax_number": "805-498-7613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUENN",
        "first_name": "TIMOTHY",
        "middle_name": "FREDERICK",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "WPT15184B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "P.T. LICENSE",
            "identifier": "WPT15184B",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justina Kimball
• Jenna Ko, D.C.
• Steven Randall Koe, M.D.
• Eliza Koh, DDS
• Kristie Jo'S Love, Comfort and Care LLC
• Stephen P. Kundell, M.D.
• Emily Anne Kyle, LICENSED MIDWIFE
• Frances Joan Lada
• Laila Niazi MD a Professional Corporation
• Allan D Laird

• Physical Therapist in Newbury Park, CA
• Providers in Newbury Park, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.