Individual provider Active NPI

Kumiko Bankson, PT, DPT, OCS, CMPT

  • Orthopedic Physical Therapist
  • Beverly Hills, CA
National Provider Identifier
1215551734
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
307300 Issued in CA
Practice address
201 N Robertson Blvd Ste 101
Beverly Hills, CA 90211-1729
Phone
(424) 303-7647
Fax
(424) 303-7648
NPI assigned
Jun 1, 2020
Last updated
Sep 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 307300 CA Primary
Orthopedic Physical Therapist 2251X0800X 3125253 TX

Addresses

Primary practice location

201 N Robertson Blvd Ste 101
Beverly Hills, CA 90211-1729

Mailing address

201 N Robertson Blvd Ste 101
Beverly Hills, CA 90211-1729
Phone (424) 303-7647

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200706002906 TX Practitioner - Physical Therapist in Private Practice 6305269564 Reassigns benefits to 1 organization
I20250106003083 CA Practitioner - Physical Therapist in Private Practice 6305269564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Evolution Physical Therapy IncGroup PAC ID 0244336964, 72 clinicians

Practice addresses (Care Compare)

11825 Major St
Suite 107
Culver City, CA 90230-6356
Phone (310) 915-6100

201 N Robertson Blvd
Suite 101
Beverly Hills, CA 90211-1729
Phone (424) 303-7647

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Evolution Physical Therapy, Inc Orthopedic CurrentSince Dec 30, 2024 Accepting new patients
Meredith S. Tittle, P.T., LLC Orthopedic CurrentSince Jun 1, 2020 Accepting new patients
Next Phase Medical PC PastSince Sep 28, 2025 Accepting new patients

Locations

11825 Major St
Ste 107
Los Angeles, CA 90230
Phone (310) 915-6100

322 Culver Blvd
Playa del Rey, CA 90293
Phone (310) 915-6100

4040 Bryce Ln
Lewisville, TX 75077
Phone (940) 241-1215

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1215551734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N ROBERTSON BLVD STE 101",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111729",
            "telephone_number": "424-303-7647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N ROBERTSON BLVD STE 101",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111729",
            "telephone_number": "424-303-7647",
            "fax_number": "424-303-7648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKSON",
        "first_name": "KUMIKO",
        "credential": "PT, DPT, OCS, CMPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-01",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "307300",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "3125253",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; 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.