NPIMap

Organization Active NPI

Kaminsky Physical Therapy, Inc.

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1417128125
Registry record updated Sep 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT19092 Issued in CA
Legal business name
KAMINSKY PHYSICAL THERAPY, INC.
Practice address
6360 Wilshire Blvd Ste 301
Los Angeles, CA 90048-5606
Phone
(323) 966-2676
Fax
(323) 966-2677
NPI assigned
Mar 20, 2008
Last updated
Sep 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2026

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

Authorized official

Name
Irina Kaminskaya
Title
Secretary
Phone
(323) 547-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT19092 CA Primary

Addresses

Primary practice location

6360 Wilshire Blvd Ste 301
Los Angeles, CA 90048-5606

Mailing address

6360 Wilshire Blvd Ste 301
Los Angeles, CA 90048-5606
Phone (323) 966-2676

Other practice location 1

16260 Ventura Blvd Ste 705
Encino, CA 91436-5101
Phone (818) 995-7500

Other practice location 2

2677 Zoe Ave Ste 201
Huntington Park, CA 90255-4195
Phone (323) 589-5000

Other identifiers 2

IdentifierTypeStateIssuer
PT0190920MedicaidCA
PT0190921MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090709000139 CA Part B Supplier - Clinic/Group Practice 8325190168 Receives reassigned benefits from 9 practitioners
Practice locations: Encino, CA; Huntington Park, CA; Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

16260 Ventura Blvd
Ste 705
Encino, CA 91436
Phone (818) 995-7500

2677 Zoe Ave
Ste 201
Huntington Park, CA 90255
Phone (323) 589-5000

6601 Rugby Ave
Ste 401
Huntington Pk, CA 90255
Phone (323) 589-5000

6333 Wilshire Blvd
Ste 101
Los Angeles, CA 90048
Phone (323) 966-2676

6360 Wilshire Blvd
Ste 301
Los Angeles, CA 90048
Phone (323) 966-2676

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789776000000",
    "number": "1417128125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6360 WILSHIRE BLVD STE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485606",
            "telephone_number": "323-966-2676",
            "fax_number": "323-966-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6360 WILSHIRE BLVD STE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485606",
            "telephone_number": "323-966-2676",
            "fax_number": "323-966-2677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16260 Ventura Blvd Ste 705",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "914365101",
            "country_code": "US",
            "telephone_number": "818-995-7500",
            "fax_number": "818-995-7957",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2677 Zoe Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Huntington Park",
            "state": "CA",
            "postal_code": "902554195",
            "country_code": "US",
            "telephone_number": "323-589-5000",
            "fax_number": "323-589-5009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KAMINSKY PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2026-09-19",
        "certification_date": "2026-09-19",
        "status": "A",
        "authorized_official_last_name": "KAMINSKAYA",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "323-547-7100"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT19092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PT0190920",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PT0190921",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.