Kevin Christopher Carney, PT-A

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

51589 Issued in CA

Practice address

1958 Via Ctr
Vista, CA 92081-6056

Phone

(760) 477-1350

Fax

(760) 754-6785

NPI assigned

Feb 7, 2022

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Tri City Orthopaedic Surgery Medical Group Inc

  • Orthopaedic Surgery Physician
  • Encinitas, CA
  • NPI 1922698828
  NPD (past)
• Tri-City Orthopaedic Surgery Medical Group Inc

  • Orthopaedic Surgery Physician
  • Oceanside, CA
  • NPI 1659797231
  NPD (past)
• Tri-City Orthopaedic Surgery Medical Group Inc

  • Orthopaedic Surgery Physician
  • Oceanside, CA
  • NPI 1861451445
  NPD (past)

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1124772405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 WARING RD",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564405",
            "telephone_number": "760-477-1350",
            "fax_number": "760-754-6785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1958 VIA CTR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816056",
            "telephone_number": "760-477-1350",
            "fax_number": "760-754-6785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6121 Paseo Del Norte",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "CA",
            "postal_code": "920111159",
            "country_code": "US",
            "telephone_number": "760-724-9000",
            "fax_number": "760-724-3686",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "351 Santa Fe Dr",
            "address_purpose": "LOCATION",
            "city": "Encinitas",
            "state": "CA",
            "postal_code": "920245137",
            "country_code": "US",
            "telephone_number": "760-724-9000",
            "fax_number": "760-724-3686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARNEY",
        "first_name": "KEVIN",
        "middle_name": "CHRISTOPHER",
        "credential": "PT-A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-07",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "51589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Carlsbad and Vista Dermatology, Inc.
• Douglas M Carlsen, DDS
• Zachary Desmond Carpenter
• Sofia Carrillo
• Timothy Joseph Carrillo, RAS-C1106011523
• Kelsey Carrio, M.D.
• Amy Sue Carter, CADC-II

• All providers in Vista, CA
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.