Individual provider Active NPI

Kai Marcus, DPT

  • Specialist
  • Carlsbad, CA
National Provider Identifier
1245376003
Registry record updated Jun 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT33446 Issued in CA
Practice address
7760 El Camino Real
Carlsbad, CA 92009-8553
Phone
(760) 634-9750
Fax
(760) 634-9752
NPI assigned
Jan 29, 2007
Last updated
Jun 24, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PT33446 CA Primary

Addresses

Primary practice location

7760 El Camino Real
Carlsbad, CA 92009-8553

Mailing address

7760 El Camino Real
Carlsbad, CA 92009-8553
Phone (760) 634-9750

Other identifiers 1

IdentifierTypeStateIssuer
PT33446OtherCACA PT LICENSE #

Other names 1

  • Kelle Kai Somple Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070424000279 CA Practitioner - Physical Therapist in Private Practice 4486759263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6221 Metropolitan St
Suite 101
Carlsbad, CA 92009-3096
Phone (760) 707-5080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT33446CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Gaspar Physical Therapy a Professional Corporation Specialist CurrentSince Jul 18, 2014 Accepting new patients
Gaspar Physical Therapy Specialist Past Accepting new patients

Locations

6221 Metropolitan St
Ste 101
Carlsbad, CA 92009
Phone (760) 632-6942

1004 N El Camino Real
Encinitas, CA 92024
Phone (760) 632-6942

700 Garden View Ct
Ste 103
Encinitas, CA 92024
Phone (760) 632-6942

981 Lomas Santa Fe Dr
Ste A
Solana Beach, CA 92075
Phone (858) 794-9995

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": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435104000000",
    "number": "1245376003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7760 EL CAMINO REAL",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920098553",
            "telephone_number": "760-634-9750",
            "fax_number": "760-634-9752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7760 EL CAMINO REAL",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920098553",
            "telephone_number": "760-634-9750",
            "fax_number": "760-634-9752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCUS",
        "first_name": "KAI",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2015-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "PT33446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA PT LICENSE #",
            "identifier": "PT33446",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLE",
            "last_name": "SOMPLE",
            "middle_name": "KAI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; 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.