KCG Physical Therapy and Wellness SVCS, Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

KCG PHYSICAL THERAPY AND WELLNESS SVCS, INC

Practice address

610 Willow St Apt a
Alameda, CA 94501-5714

Phone

(812) 581-0011

NPI assigned

May 11, 2021

Organization subpart

No

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

Authorized official

Name

Christine Rivera-Gapuz, PT, DPTNPI 1437443249

Title

President

Phone

(812) 581-0011

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christine Rivera-Gapuz, P.T.

  • Physical Therapist
  • Cincinnati, OH
  • NPI 1437443249
  NPD Authorized official

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620691200000",
    "number": "1255915674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1267 WILLIS ST STE 200A",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010400",
            "telephone_number": "530-232-5985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 WILLOW ST APT A",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945015714",
            "telephone_number": "812-581-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KCG PHYSICAL THERAPY AND WELLNESS SVCS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-11",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A",
        "authorized_official_last_name": "RIVERA-GAPUZ",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-581-0011",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "christine@kcgphsyio.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "610 Willow St Apt A",
            "city": "Alameda",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945015714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Manmeet Kaur
• Pratimajit Kaur
• Shivinder B Kaur, MD
• Ten Kay, L.AC
• Joshua Edward Kayman, M.D
• Ann Keilman, LCSW
• Kelly A Keller, FNP-C
• Ken Chen Optometry Inc
• Calista Kendrick
• Robbie Kupono Kenobi, LCSW

• All providers in Alameda, CA
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.