Kerry Pickering, PT

Primary specialty

Neurology Physical TherapistTaxonomy code 2251N0400X

License

39710 Issued in CA

Practice address

630 Warner Ave Ste 104
Huntington Beach, CA 92647

Phone

(714) 485-9887

Fax

(949) 216-5980

NPI assigned

Dec 17, 2013

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Connect Physical Therapy and Wellness Inc

  • Neurology Physical Therapist
  • Huntington Beach, CA
  • NPI 1881427516
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1387238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1346661451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 E JACARANDA AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928676224",
            "telephone_number": "714-485-9887",
            "fax_number": "949-216-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 WARNER AVE STE 104",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "92647",
            "telephone_number": "714-485-9887",
            "fax_number": "949-216-5980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8830 S Sepulveda Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900454833",
            "country_code": "US",
            "telephone_number": "424-225-1845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PICKERING",
        "first_name": "KERRY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-17",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "CA",
            "license": "39710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Phu, DMD
• Phiet Phung, MD
• Physical RX Physical Therapy, Inc. (Physical Rx)
• Physiotherapy Associates Inc (Select Physical Therapy)
• Yesica Picazo
• Kathryn Pickett
• Kathleen Elizabeth Piercy, PT
• Kara Pilar, PT, DPT
• Pillars Recovery, LLC
• Sabrina Maria Pimentel, MPAP, PA-C

• Neurology Physical Therapist in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Neurology Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.