Active NPI
Ryan Kiyono
- Physical Therapist
- Woodland Hills, CA
National Provider Identifier
1578983243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 35831
- Practice address
- 2388 Mulholland Drive
Woodland Hills, CA 91364-2733 - Phone
- (818) 876-1006
- Fax
- (818) 876-0542
- NPI assigned
- Apr 22, 2014
- Last updated
- Dec 16, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | PT35831 | CA | |
| Physical Therapist | 225100000X | PT 35831 | CA | Primary |
Addresses
Primary practice location
2388 Mulholland Drive
Woodland Hills, CA 91364-2733
Mailing address
5767 W Century Blvd
Suite 400
Los Angeles, CA 90045-5631
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT35831 | CA | MD | Physical Medicine & Rehabilitation Physician |
| PT 35831 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576454400000",
"number": "1578983243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD",
"address_2": "SUITE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2388 MULHOLLAND DRIVE",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913642733",
"telephone_number": "818-876-1006",
"fax_number": "818-876-0542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIYONO",
"first_name": "RYAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-22",
"last_updated": "2019-12-16",
"certification_date": "2019-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CA",
"license": "PT35831",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 35831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodland Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.