Individual provider Active NPI

Kinzie Munar, DPT

  • Physical Therapist
  • Portland, OR
National Provider Identifier
1639528185
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
61335 Issued in OR
Practice address
1849 SW Salmon St
Portland, OR 97205-1726
Phone
(503) 272-8785
NPI assigned
Jun 6, 2016
Last updated
Jun 6, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2016

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 61335 OR Primary

Addresses

Primary practice location

1849 SW Salmon St
Portland, OR 97205-1726

Mailing address

1849 SW Salmon St
Portland, OR 97205-1726

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201211002251 ID Practitioner - Physical Therapist in Private Practice 9133408461 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Loma Linda University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scott Randklev Physical Therapy P.a.Group PAC ID 9537562699, 3 clinicians

Practice addresses (Care Compare)

370 E Kathleen Ave
Suite 500
Coeur D Alene, ID 83815-5238
Phone (208) 292-1372

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
River City Physical Therapy Physical Therapist CurrentSince Jul 1, 2021 Accepting new patients
Scott Randklev Physical Therapy P.a. Physical Therapist CurrentSince Jul 1, 2021 Accepting new patients
Lake City Physical Therapy P a Physical Therapist CurrentSince Oct 1, 2020 Accepting new patients
Katie Lyttle Physical Therapist PC Physical Therapist CurrentSince Mar 6, 2017 Accepting new patients
Lake City Physical Therapy P a Physical Therapist CurrentSince Oct 1, 2020 Accepting new patients

Locations

2170 W Ironwood Center Dr
Coeur D Alene, ID 83814
Phone (208) 667-1988

370 E Kathleen Ave
Ste 500
Coeur D Alene, ID 83815
Phone (208) 292-1372

2240 N Interstate Ave
Ste 280
Portland, OR 97227
Phone (971) 279-4268

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465171200000",
    "number": "1639528185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1849 SW SALMON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972051726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1849 SW SALMON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972051726",
            "telephone_number": "503-272-8785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNAR",
        "first_name": "KINZIE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-06",
        "last_updated": "2016-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "61335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.