Kyle Kusunose, DPT, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT29310 Issued in FL

Practice address

2142 NE 123Rd St
North Miami, FL 33181-2902

Phone

(305) 967-8976

Fax

(305) 967-8863

NPI assigned

Dec 6, 2014

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

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.

• Coal Creek Diagnostics, LLC

  • Diagnostic Ultrasound Physician
  • Louisville, CO
  • NPI 1366941171
  NPD (past)

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

{
    "created_epoch": "1417824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440979200000",
    "number": "1457759573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 DAY AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331335027",
            "telephone_number": "760-420-4890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2142 NE 123RD ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812902",
            "telephone_number": "305-967-8976",
            "fax_number": "305-967-8863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSUNOSE",
        "first_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-06",
        "last_updated": "2015-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT29310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "IE860Z",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF FL.",
            "identifier": "Y0R09",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vinaya S Koppikar, MD
• KP Medical Services LLC
• Sulim A Krimshtein, MD
• Kta You Matter LLC
• Ryan Daniel Kunstadt, M.D.
• L & B Solution Care Inc
• L & G and Associates
• La Colonia Medical Center Inc
• La Colonia Wellness Center North Miami LLC
• La Edad Dorada Corp

• Orthopedic Physical Therapist in North Miami, FL
• Providers in North Miami, FL by specialty
• Orthopedic Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.