Active NPI
Kory Kindle, PT
- Physical Therapist
- Atascadero, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT299678
- Practice address
- 6907 El Camino Real Ste D
Atascadero, CA 93422-4386 - Phone
- (805) 466-6719
- Fax
- (805) 466-5286
- NPI assigned
- Dec 28, 2020
- Last updated
- Dec 28, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT299678 | CA | Primary |
Addresses
Primary practice location
6907 El Camino Real Ste D
Atascadero, CA 93422-4386
Mailing address
1106 Walnut St Ste 110
San Luis Obispo, CA 93401-2416
Phone (805) 788-0805
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
849 Coast Blvd
La Jolla, CA 92037-4223
Phone (858) 456-4231
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT299678 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Life Physical Therapy Services, PC | Physical Therapist | Current | Accepting new patients |
| Ther RX | Physical Therapist | Current | Accepting new patients |
Locations
849 Coast Blvd
La Jolla, CA 92037
Phone (858) 454-2151
12515 Springhurst Dr
San Diego, CA 92128
Phone (858) 771-3694
Organizations & group practices 2
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.
-
- Physical Therapist
- Beverly Hills, CA
- NPI 1285160788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609113600000",
"number": "1407443211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1106 WALNUT ST STE 110",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934012416",
"telephone_number": "805-788-0805",
"fax_number": "805-788-0845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6907 EL CAMINO REAL STE D",
"city": "ATASCADERO",
"state": "CA",
"postal_code": "934224386",
"telephone_number": "805-466-6719",
"fax_number": "805-466-5286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINDLE",
"first_name": "KORY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-28",
"last_updated": "2020-12-28",
"certification_date": "2020-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT299678",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atascadero, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; 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.