Active NPI
Bryce Thomas Kinnas, DPT
- Physical Therapist
- Naples, FL
National Provider Identifier
1609187343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 008809
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008809 | CT | MD | Prosthodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nchmd, Inc | Current | Accepting new patients | |
| Nchmd Inc | Current | 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.
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- Hematology & Oncology Physician
- Naples, FL
- NPI 1831120195
-
- Durable Medical Equipment & Medical Supplies
- Naples, FL
- NPI 1033904651
-
- Physical Therapist
- Naples, FL
- NPI 1710919584
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.