Active NPI
Kathryn Eilene Kerr Dunn, PT, MPT
- Pediatric Physical Therapist
- San Diego, CA
National Provider Identifier
1245574797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 39208
- Practice address
- 1809 National Ave
San Diego, CA 92113 - Phone
- (619) 515-2300
- NPI assigned
- Nov 22, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 39208 | CA | Primary |
Addresses
Primary practice location
1809 National Ave
San Diego, CA 92113
Mailing address
50 E Foothill Blvd Ste 100
Arcadia, CA 91006-2314
Phone (626) 445-2400
Other practice location 1
1234 Broadway
El Cajon, CA 92021-4901
Phone (619) 515-2463
Other practice location 2
50 E Foothill Blvd Ste 100
Arcadia, CA 91006-2314
Phone (626) 445-2400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39208 | CA | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excel Speech Therapy Center | Past | Accepting new patients | |
| Dynamic Therapies, Inc. | Pediatrics | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Hearing and Speech Clinic/Center
- San Diego, CA
- NPI 1144664285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533168000000",
"number": "1245574797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 E FOOTHILL BLVD STE 100",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910062314",
"telephone_number": "626-445-2400",
"fax_number": "626-445-2419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1809 NATIONAL AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92113",
"telephone_number": "619-515-2300"
}
],
"practiceLocations": [
{
"address_1": "1234 Broadway",
"address_purpose": "LOCATION",
"city": "El Cajon",
"state": "CA",
"postal_code": "920214901",
"country_code": "US",
"telephone_number": "619-515-2463",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "50 E Foothill Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Arcadia",
"state": "CA",
"postal_code": "910062314",
"country_code": "US",
"telephone_number": "626-445-2400",
"fax_number": "626-445-2419",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUNN",
"first_name": "KATHRYN",
"middle_name": "EILENE KERR",
"credential": "PT, MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-22",
"last_updated": "2018-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "CA",
"license": "39208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.