Active NPI
Kevin Isaacs, MS, CPT, CSCS
- Kinesiotherapist
- Northridge, CA
National Provider Identifier
1063657419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Kinesiotherapist
- License
- 97-07-11-003
- Practice address
- 9150 Reseda Blvd
Northridge, CA 91324 - Phone
- (310) 801-4129
- Fax
- (310) 966-1175
- NPI assigned
- Dec 12, 2008
- Last updated
- Dec 12, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurorehabilitation Occupational Therapist | 225XN1300X | 97-07-11-003 | CA | |
| Kinesiotherapist | 226300000X | 97-07-11-003 | CA | Primary |
Addresses
Primary practice location
9150 Reseda Blvd
Northridge, CA 91324
Mailing address
10933 Rochester Ave
Suite #216
Los Angeles, CA 90024
Phone (310) 801-4129
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229040000000",
"number": "1063657419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10933 ROCHESTER AVE",
"address_2": "SUITE #216",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90024",
"telephone_number": "310-801-4129",
"fax_number": "310-966-1175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9150 RESEDA BLVD",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "91324",
"telephone_number": "310-801-4129",
"fax_number": "310-966-1175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISAACS",
"first_name": "KEVIN",
"name_prefix": "Mr.",
"credential": "MS, CPT, CSCS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-12-12",
"last_updated": "2008-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "225XN1300X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Neurorehabilitation",
"state": "CA",
"license": "97-07-11-003",
"primary": false
},
{
"code": "226300000X",
"taxonomy_group": "",
"desc": "Kinesiotherapist",
"state": "CA",
"license": "97-07-11-003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.