Randi L Kinney, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

39984 Issued in CA

Practice address

3115 Ocean Front Walk
San Diego, CA 92109-8729

Phone

(858) 488-3597

Fax

(858) 746-4041

NPI assigned

Mar 11, 2013

Last updated

Mar 11, 2013By the provider in NPPES

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

Enrolled in CA

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Water and Sports Physical Therapy, Inc

  • Physical Therapist
  • San Diego, CA
  • NPI 1699840934
  Medicare reassignment NPD
• Water and Sports Physical Therapy

  • Physical Medicine & Rehabilitation Physician
  • San Diego, CA
  • NPI 1588085625
  NPD (past)

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

{
    "created_epoch": "1362960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362960000000",
    "number": "1639410913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3639 MIDWAY DR STE B296",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921105254",
            "telephone_number": "858-488-3597",
            "fax_number": "858-746-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 OCEAN FRONT WALK",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921098729",
            "telephone_number": "858-488-3597",
            "fax_number": "858-746-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINNEY",
        "first_name": "RANDI",
        "middle_name": "L",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-11",
        "last_updated": "2013-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "39984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherry Kinnaird, M.D.
• Mikaela Kinnear Elson, PH.D.
• Alyssa B Kinnear, D.P.T.
• Robin Lynn Siegrist Kinnear, PHARM.D.
• Lauraine J. Kinney, MD
• Regan Kinney, MA
• Thomas Brian Kinney, M.D.
• Shinichi Kino, D.C.
• Ryan Tatsuo Haaheo Kinoshita, PHARMD
• Madeleine Anne Kinsel, RN

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; 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.