Individual provider Active NPI

Kevin Kapka, DPT

  • Physical Medicine & Rehabilitation Physician
  • Mission Viejo, CA
National Provider Identifier
1508374893
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
NA Issued in CA
Practice address
23382 Madero Ste a
Mission Viejo, CA 92691-2782
Phone
(949) 464-4009
NPI assigned
Jan 20, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NA CA Primary

Addresses

Primary practice location

23382 Madero Ste a
Mission Viejo, CA 92691-2782

Mailing address

2627 N Bourbon St Apt 26
Orange, CA 92865-2482
Phone (619) 733-8953

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180605002779 CA Practitioner - Physical Therapist in Private Practice 5294090627 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kinetik Physical Therapy IncGroup PAC ID 7911381207, 4 clinicians

Practice addresses (Care Compare)

23382 Madero
Suite a
Mission Viejo, CA 92691-2782
Phone (949) 464-4009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kinetik Physical Therapy Inc CurrentSince Aug 1, 2022 Accepting new patients
California Luna Care Physical Therapy PC CurrentSince Mar 2, 2022 Accepting new patients

Locations

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108

23382 Madero
Ste A
Mission Viejo, CA 92691
Phone (949) 464-4009

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1516406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1508374893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2627 N BOURBON ST APT 26",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928652482",
            "telephone_number": "619-733-8953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23382 MADERO STE A",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926912782",
            "telephone_number": "949-464-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPKA",
        "first_name": "KEVIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-20",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.