Individual provider Active NPI

Bryce Thomas Kinnas, DPT

  • Physical Therapist
  • Naples, FL
National Provider Identifier
1609187343
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
008809 Issued in CT
Practice address
1374 Wildwood Lakes Blvd Unit 4
Naples, FL 34104-6428
Phone
(239) 285-3434
Fax
(239) 354-3721
NPI assigned
Jun 28, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 008809 CT Primary

Addresses

Primary practice location

1374 Wildwood Lakes Blvd Unit 4
Naples, FL 34104-6428

Mailing address

1374 Wildwood Lakes Blvd Unit 4
Naples, FL 34104-6428
Phone (239) 285-3434

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110628000875 FL Practitioner - Physical Therapist in Private Practice 1153509856 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008809CTMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Nchmd, Inc CurrentSince Nov 1, 2025 Accepting new patients
Nchmd Inc CurrentSince Nov 1, 2025 Accepting new patients
Bayonne Physical Therapy Inc Physical Therapist Past Accepting new patients

Locations

333 Hideaway Cir N
Marco Island, FL 34145
Phone (239) 624-8580

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

Organizations & group practices 3

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": "1277683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277683200000",
    "number": "1609187343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1374 WILDWOOD LAKES BLVD UNIT 4",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341046428",
            "telephone_number": "239-285-3434",
            "fax_number": "239-354-3721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1374 WILDWOOD LAKES BLVD UNIT 4",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341046428",
            "telephone_number": "239-285-3434",
            "fax_number": "239-354-3721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINNAS",
        "first_name": "BRYCE",
        "middle_name": "THOMAS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-28",
        "last_updated": "2010-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "008809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.