Kealia Kai Inc.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Legal business name

KEALIA KAI INC.

Practice address

470 Eva St
Ventura, CA 93003-4720

Phone

(949) 293-8866

NPI assigned

Jan 14, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Sean Stephan, DPTNPI 1750407771

Title

Owner

Phone

(949) 293-8866

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sean P Stephan, DPT

  • Physical Therapist
  • Ventura, CA
  • NPI 1750407771
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1104637818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 EVA ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930034720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 EVA ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930034720",
            "telephone_number": "949-293-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEALIA KAI INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "STEPHAN",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-293-8866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dan Kaufman
• Banwant Kaur
• Tajinder Bir Kaur, M.D.
• Simran Kaut
• Seema Kazemi Raheel, M.D.
• Elizabeth A Keane, MSW, LCSW
• Angela J Kearney
• Robert E. Keating, DMD
• Kee Y. Lee, M.D., Inc.
• William Read Keehn

• Orthopedic Physical Therapist in Ventura, CA
• Providers in Ventura, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.