Michele Kayiran, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

33796 Issued in CA

Practice address

2711 E Coast Hwy Ste 206
Corona del Mar, CA 92625-2108

Phone

(949) 675-2922

Fax

(949) 675-2992

NPI assigned

Jun 27, 2007

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, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Newsport Physical TherapyGroup PAC ID 8224131396, 5 clinicians

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 and National Provider Directory roles.

• Newsport Physical Therapy

  • Physical Therapist
  • Corona del Mar, CA
  • NPI 1831258789
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345507200000",
    "number": "1508063348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 TROFELLO LN",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926566257",
            "telephone_number": "949-514-4394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 E COAST HWY STE 206",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926252108",
            "telephone_number": "949-675-2922",
            "fax_number": "949-675-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAYIRAN",
        "first_name": "MICHELE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2012-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "33796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie M Young LMFT
• Jim Kalafat
• Lola Jontiff, RAD T
• Mark Tibor Kantor, RN
• Kaveh Karandish, MD
• Rachel Kelts
• Lina Jacklyn Kennedy, M.D.
• Robert W Kessler, M. D.
• Kevin J Taylor DDS Inc
• Kha D Le Dental Corp.

• Physical Therapist in Corona del Mar, CA
• Providers in Corona del Mar, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; 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.