Individual provider Active NPI

Kayla Rose Bomben, DPT

  • Physical Therapist
  • Grants Pass, OR
National Provider Identifier
1316624232
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1407339 Issued in TX
Practice address
497 SW Ramsey Ave
Grants Pass, OR 97527-5681
Phone
(541) 476-1919
NPI assigned
Jul 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 64957 OR
Physical Therapist 225100000X 304237 CA
Physical Therapist 225100000X PTL28143 MA
Physical Therapist 225100000X 1407339 TX Primary

Addresses

Primary practice location

497 SW Ramsey Ave
Grants Pass, OR 97527-5681

Mailing address

4014 Guildford a
Boca Raton, FL 33434-2989
Phone (647) 822-4072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240402003097 CA Practitioner - Physical Therapist in Private Practice 0547620882 Reassigns benefits to 2 organizations
I20250102002336 MA Practitioner - Physical Therapist in Private Practice 0547620882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monterey Spine and Joint PCGroup PAC ID 0840295721, 75 clinicians

Practice addresses (Care Compare)

21 Lower Ragsdale Dr
Monterey, CA 93940-5827
Phone (831) 648-7200

22 Mill St
Arlington, MA 02476-4744
Phone (781) 646-8440

Merit-based Incentive Payment System (MIPS)

Final score
68.04 of 100Reported as group
Quality
55.97
Improvement activities
40
Cost
74.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
64957ORMDPhysical Therapist
1407339TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bay State Physical Therapy of Randolph Inc CurrentSince Jan 1, 2025 Accepting new patients
More Physical Therapy, Inc. Physical Therapist CurrentSince Jul 8, 2024 Accepting new patients
Monterey Spine & Joint PC CurrentSince Oct 23, 2025 Accepting new patients
Monterey Spine & Joint PC CurrentSince Oct 23, 2025 Accepting new patients
Bay State Physical Therapy of Randolph Inc Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients
Golden State Orthopedics & Spine Past Accepting new patients
Montage Surgical Group Past Accepting new patients

Locations

1633 Old Bayshore Hwy
Ste 145
Burlingame, CA 94010
Phone (650) 239-9075

12 Upper Ragsdale Dr
Monterey, CA 93940
Phone (831) 264-6060

21 Lower Ragsdale Dr
Monterey, CA 93940
Phone (831) 264-6040

2145 The Alameda
San Jose, CA 95126
Phone (408) 248-6886

22 Mill St
Ste 406
Arlington, MA 02476
Phone (781) 646-8440

1343 Providence Hwy
Norwood, MA 02062
Phone (781) 702-1339

Interoperability endpoints

  • Direct secure messaging: kayla.bomben.p2@direct.muirortho.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: kayla.bomben.p1@direct.muirortho.nextgenshare.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1316624232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4014 GUILDFORD A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334342989",
            "telephone_number": "647-822-4072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "497 SW RAMSEY AVE",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275681",
            "telephone_number": "541-476-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOMBEN",
        "first_name": "KAYLA",
        "middle_name": "ROSE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-03",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "64957",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "304237",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "PTL28143",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1407339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants Pass, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.