Priscilla Bolger Kaaret, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12972 Issued in CA

Practice address

1449 Ygnacio Valley Rd
Walnut Creek, CA 94598-2932

Phone

(925) 939-5820

Fax

(925) 930-8399

NPI assigned

Jun 12, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Physical Therapist in Private Practice

Education

Other, 1985

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213228800000",
    "number": "1336309343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1449 YGNACIO VALLEY RD",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982932",
            "telephone_number": "925-939-5820",
            "fax_number": "925-930-8399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1449 YGNACIO VALLEY RD",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982932",
            "telephone_number": "925-939-5820",
            "fax_number": "925-930-8399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAARET",
        "first_name": "PRISCILLA",
        "middle_name": "BOLGER",
        "name_prefix": "Mrs.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-12",
        "last_updated": "2008-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "12972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Liu MD Professional Medical Corporation
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• K2 Healthcare Inc.
• K2 Healthcare LLC
• Richard Kabasinskas
• Mana Kahali, LCSW
• Matthew Kaharudin
• Deborah Kahng, PHARMD
• Kaidong Wang M.D.

• Physical Therapist in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.