Sonja Kiseljak-Dusenbury, DPT. MBA

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT29999 Issued in CA

Practice address

7601 Imperial Hwy
Downey, CA 90242-3456

Phone

(562) 385-6611

NPI assigned

Dec 18, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration

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.

• Balance Rehabilitation, Inc.

  • Orthopedic Physical Therapist
  • Lake Forest, CA
  • NPI 1184734931
  NPD (past)

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1154484459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 IMPERIAL HWY",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902423456",
            "telephone_number": "562-385-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 IMPERIAL HWY",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902423456",
            "telephone_number": "562-385-6611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25971 Pala",
            "address_2": "Ste 110",
            "address_purpose": "LOCATION",
            "city": "Mission Viejo",
            "state": "CA",
            "postal_code": "926912742",
            "country_code": "US",
            "telephone_number": "949-465-9500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KISELJAK-DUSENBURY",
        "first_name": "SONJA",
        "credential": "DPT. MBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT29999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE#",
            "identifier": "PT29999",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kinetic Therapy Services, a Physical Therapy Corporation
• Caroline King, M.D.
• Tonisha Chanel King
• Myon Kinsey
• Kirk W. Sullivan D.D.S., Inc.
• Tina Kishishita
• Marin Kitamura, PT
• Denis A Kitayama, PHARM.D.
• Marissa Klein, MS, CCC-SLP
• Bryanna Lee Knight

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.