Robert W Killebrew, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

301735 Issued in CA

Practice address

1828 Oceanside Blvd
Oceanside, CA 92054-3452

Phone

(844) 316-7979

Fax

(866) 813-1235

NPI assigned

Mar 22, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Livara Health Medical Group PCGroup PAC ID 8022238872, 23 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Livara Health Medical Group PC

  • Physical Therapist
  • San Diego, CA
  • NPI 1144469404

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Livara Health Medical Group PC

  • Physical Therapist
  • Carlsbad, CA
  • NPI 1790672954
  NPD
• Spinezone Medical Fitness, Inc.

  • Physical Therapist
  • Oceanside, CA
  • NPI 1659915015
  NPD
• Spinezone Medical Fitness, Inc.

  • Physical Therapist
  • San Diego, CA
  • NPI 1932851177
  NPD
• Livara Health Medical Group NJ, PC

  • Physical Therapist
  • San Diego, CA
  • NPI 1861282691

  Single Specialty

  NPD (past)
• Spinezone Medical Fitness, Inc.

  • Physical Therapist
  • Del Mar, CA
  • NPI 1720517428
  NPD (past)

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

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1700380763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7525 METROPOLITAN DR STE 306",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084404",
            "telephone_number": "844-316-7979",
            "fax_number": "866-813-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1828 OCEANSIDE BLVD",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920543452",
            "telephone_number": "844-316-7979",
            "fax_number": "866-813-1235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7525 Metropolitan Dr Ste 306",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921084404",
            "country_code": "US",
            "telephone_number": "844-316-7979",
            "fax_number": "866-813-1235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11838 Bernardo Plaza Ct Ste 101",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921282414",
            "country_code": "US",
            "telephone_number": "844-316-7979",
            "fax_number": "866-813-1235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILLEBREW",
        "first_name": "ROBERT",
        "middle_name": "W",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-22",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "TX",
            "license": "1277699",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "301735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Susan Kilby, RN
• Jaesung Kim, DMD
• Jessica Min Kim, DPT
• Ki Wan Kim, D.D.S.
• Phyllisia Kimbrough, RBT
• Kineos Physical Therapy Inc

• Physical Therapist in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.