Kai Physical Therapy and Rehabilitation, Inc,

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT25369 Issued in CA

Legal business name

KAI PHYSICAL THERAPY AND REHABILITATION, INC,

Practice address

18102 Sky Park Cir Ste J
Irvine, CA 92614-6531

Phone

(949) 743-5788

NPI assigned

Oct 27, 2006

Organization subpart

No

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

Authorized official

Name

David Chun, PT, DPT, OCS, CSCS

Title

Owner, Ceo/Cfo

Phone

(949) 838-6484

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646611200000",
    "number": "1154407708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14252 CULVER DR STE A-437",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926040317",
            "telephone_number": "949-743-5788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18102 SKY PARK CIR STE J",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146531",
            "telephone_number": "949-743-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAI PHYSICAL THERAPY AND REHABILITATION, INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A",
        "authorized_official_last_name": "CHUN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER, CEO/CFO",
        "authorized_official_telephone_number": "949-838-6484",
        "authorized_official_credential": "PT, DPT, OCS, CSCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT25369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

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