Kristine Kiyo Kubose, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT20988 Issued in CA

Practice address

1189 W State St
Redlands, CA 92373-8123

Phone

(909) 307-9121

Fax

(909) 307-9161

NPI assigned

Jun 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

May accept Medicare assignment

Group practices

Outback Physiotherapy Centre, Inc.Group PAC ID 1951312560, 3 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.

• Outback Physiotherapy Centre, Inc.

  • Physical Therapy Clinic/Center
  • Redlands, CA
  • NPI 1205882875

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223251200000",
    "number": "1114968757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1189 W STATE ST",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923738123",
            "telephone_number": "909-307-9121",
            "fax_number": "909-307-9161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1189 W STATE ST",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923738123",
            "telephone_number": "909-307-9121",
            "fax_number": "909-307-9161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBOSE",
        "first_name": "KRISTINE",
        "middle_name": "KIYO",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2008-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT20988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Rosenquist Kreuter, PHARM D
• Dayna Duckworth Kringlen, A.P.R.N.
• Priya Darshini Krishna, MD
• Meghanne Elizabeth Kruizenga, D.D.S.
• Shelby Ann Kruse, LCSW
• Mikako Kuga, DDS
• Neelima Kunam, M.D.
• Syam P Kunam, MD
• Rajababu Kurre, MD
• Laura Kurzban, PHD

• Physical Therapist in Redlands, CA
• Providers in Redlands, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; 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.