Carolyn Wenkay-Kwok Kettunen, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

36274 Issued in CA

Practice address

27700 Medical Center Rd
Mission Viejo, CA 92691-6426

Phone

(949) 364-1400

NPI assigned

Feb 14, 2012

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

Other names 1

• Carolyn Wenkay Kwok Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329177600000",
    "number": "1679846174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 TROPEA AISLE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926060866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27700 MEDICAL CENTER RD",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916426",
            "telephone_number": "949-364-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETTUNEN",
        "first_name": "CAROLYN",
        "middle_name": "WENKAY-KWOK",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-14",
        "last_updated": "2012-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "36274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "KWOK",
            "middle_name": "WENKAY",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marissa Anne Kent, MS, RD
• Cailyn Michelle Kern, AU.D.
• Debra Kerr, ATC
• Haley Donovan Kessler, DDS
• Robert Kessler, MD
• Barbara Kelly Key, PSY.D.
• Elham Khajavi, D.D.S.
• Sawghar Khalaj, FNP
• Neloufar Aileen Khalilian
• Nadia Khamoo, APCC

• Physical Therapist in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.