Bryce Robert Kubo, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT296463 Issued in CA

Practice address

28924 S Western Ave Ste 101
Rancho Palos Verdes, CA 90275-0813

Phone

(310) 548-0104

NPI assigned

Mar 25, 2019

Sex

Male

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

California Rehabilitation and Sports Therapy a California Physical theGroup PAC ID 6709788896, 182 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• California Rehabilitation & Sports Therapy a California Physical Ther

  • Multi-Specialty Clinic/Center
  • Mission Viejo, CA
  • NPI 1386696409

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• California Rehab & Sports Therapy

  • Multi-Specialty Clinic/Center
  • Los Angeles, CA
  • NPI 1508540279
  NPD
• California Rehabilitation & Sports Therapy a California Physical Ther

  • Physical Therapy Clinic/Center
  • Corona, CA
  • NPI 1255986873

  Physical Therapist

  NPD (past)
• California Rehabilitation & Sports Therapy a California Physical Ther

  • Physical Therapy Clinic/Center
  • Camarillo, CA
  • NPI 1669066940

  Physical Therapist

  NPD (past)
• Prosport Physical Therapy Professionals Inc

  • Physical Therapy Clinic/Center
  • Costa Mesa, CA
  • NPI 1073170437

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1346700218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28924 S WESTERN AVE STE 101",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902750813",
            "telephone_number": "310-548-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28924 S WESTERN AVE STE 101",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902750813",
            "telephone_number": "310-548-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBO",
        "first_name": "BRYCE",
        "middle_name": "ROBERT",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-25",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT296463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harini Delia Koko, AGNP-C
• Glen Isamu Komatsu, M.D.
• Nicola Akiko Koyama, P.T.
• Donna Marie Krogh, PHD
• Allan Ku
• Greg Kurashige, P.T.
• Cameron Adam Kwiatkouski, DMD
• Allison Lai, NP, RN
• Wayne Thomas Larsen, O.D.
• Lydia Lau, PT, DPT

• Physical Therapist in Rancho Palos Verdes, CA
• Providers in Rancho Palos Verdes, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; 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.