Kevin Bell
Individual provider Active NPI Physical Therapist · Newhall, CA
NPI 1295244531 · NPPES record last updated Sep 28, 2017
Key facts
- NPI
- 1295244531
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT292104 (CA)
- Practice address
- 23206 Lyons Ave Ste 105
Newhall, CA 91321-2671 - Phone
- (661) 383-9828
- NPI assigned
- Sep 28, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
25115 Ave Stanford
B215
Valencia, CA 91355-1290
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180911003888 | CA | Practitioner - Physical Therapist in Private Practice | 4688924798 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT292104 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Rehab and Sports Therapy | Physical Therapist | Current |
Accepting new patients |
| California Rehabilitation & Sports Therapy a California Physical Ther | Physical Therapist | Current | Accepting new patients |
| California Rehab & Sports Therapy | Current |
Accepting new patients | |
| California Rehabilitation & Sports Therapy a California Physical Ther | Physical Therapist | Past | Accepting new patients |
Locations
44501 16th St W
Ste 107
Lancaster, CA 93534
Phone (661) 974-7033
19000 Hawthorne Blvd
Ste 300
Torrance, CA 90503
Phone (310) 793-1800
25176 Rye Canyon Rd
Valencia, CA 91355
Phone (661) 288-0300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT292104 | CA | Yes |
Addresses
Primary practice location
23206 Lyons Ave Ste 105
Newhall, CA 91321-2671
Mailing address
23969 Via Bocina
Valencia, CA 91355-3118
Other providers in Newhall, CA
- Marisol Barrera
- Barte Medical Group, Inc
- Felix M Barte
- Blake William Baumgartner
- Behavioral Care Network
- Samuel Beltran
- Meredith Atlas Benzion
- Bestyle Home Care Services Inc.
- Beyond the Spectrum
- Joni Arti Bhutra
All providers in Newhall, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.