Kelly Renee Fine

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT21235 Issued in CA

Practice address

48677 Victoria Lane
Ste 101
Oakhurst, CA 93644

Phone

(559) 683-4444

Fax

(559) 683-7053

NPI assigned

Jul 31, 2006

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

Not listed in the public Medicare enrollment file

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.

• Eggleton & Langton Physical Therapy Management Services

  • Physical Therapist
  • San Diego, CA
  • NPI 1932659570
  NPD
• Eggleton & Langton Physical Therapy Management Services

  • Multi-Specialty Clinic/Center
  • Escondido, CA
  • NPI 1972229805

  Physical Therapist

  NPD
• PT First Physical Therapy PC

  • Physical Therapy Clinic/Center
  • San Diego, CA
  • NPI 1346078045

  Physical Therapist

  NPD
• Eggleton & Langton Physical Therapy Management Services

  • Physical Therapist
  • Calexico, CA
  • NPI 1851347686
  NPD (past)
• Eggleton Langton Physical Therapy Management Services

  • Physical Therapist
  • Chula Vista, CA
  • NPI 1225084056
  NPD (past)
• Evelyn Joy Kagawa

  • Physical Therapy Clinic/Center
  • Oakhurst, CA
  • NPI 1144356981
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204070400000",
    "number": "1508872623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40337 ROAD 222",
            "city": "BASS LAKE",
            "state": "CA",
            "postal_code": "93604",
            "telephone_number": "559-658-2864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48677 VICTORIA LANE",
            "address_2": "STE 101",
            "city": "OAKHURST",
            "state": "CA",
            "postal_code": "93644",
            "telephone_number": "559-683-4444",
            "fax_number": "559-683-7053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINE",
        "first_name": "KELLY",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2008-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT21235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Robert Edgell Jr.
• Tiffany M. Eighmy-Romero, RADT-I
• Evelyn Joy Kagawa
• Nina Diana Farley-Bates, L.C.S.W., D.B.H
• Joel Figatner, M.D.
• Fogg Remington Eyecare, Inc.
• Fogg Remington Eyecare, Inc.
• Forest Follett, M.D.
• Ryan Joseph Franklin, D.D.S.
• Shannon Sue Freeman, APCC

• Physical Therapist in Oakhurst, CA
• Providers in Oakhurst, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.