Active NPI
Kevin James Amaral, PTA
- Physical Therapy Assistant
- Brentwood, CA
National Provider Identifier
1275888554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- AT4815
- Practice address
- 923 Yardley PL
Brentwood, CA 94513-6156 - Phone
- (923) 330-3537
- NPI assigned
- Jul 23, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | AT4815 | CA | Primary |
Addresses
Primary practice location
923 Yardley PL
Brentwood, CA 94513-6156
Mailing address
923 Yardley PL
Brentwood, CA 94513-6156
Phone (925) 330-3537
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT4815 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343001600000",
"number": "1275888554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "923 YARDLEY PL",
"city": "BRENTWOOD",
"state": "CA",
"postal_code": "945136156",
"telephone_number": "925-330-3537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "923 YARDLEY PL",
"city": "BRENTWOOD",
"state": "CA",
"postal_code": "945136156",
"telephone_number": "923-330-3537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMARAL",
"first_name": "KEVIN",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-23",
"last_updated": "2012-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "AT4815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brentwood, CA
- Sinan N. Alshahwany, M.D.
- Judith Alvarez Ponce
- Aliya Alvarez
- Angy Alvarez
- Alyssa Stephanie Amaral
- Amardeep Gill, D.D.S., Inc.
- Amavi Home Health and Hospice Care Services, Inc.
- Amavi Home Health and Hospice Care Services, Inc.
- American Current Care of California, a Medical Corporation
- Dalia A Ammsso, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.