Kevin Pontonuwu, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

308035 Issued in CA

Practice address

13313 Palm Dr Ste B
Desert Hot Springs, CA 92240-5980

Phone

(760) 671-4760

Fax

(760) 671-4798

NPI assigned

May 12, 2025

Sex

Male

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

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

All Star Physical TherapyGroup PAC ID 7719030949, 149 clinicians

California Luna Care Physical Therapy PCGroup PAC ID 9638427834, 769 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.

• All Star Physical Therapy

  • Physical Therapist
  • Murrieta, CA
  • NPI 1750559431
  Medicare reassignment Care Compare group NPD
• California Luna Care Physical Therapy PC

  • Physical Therapist
  • Los Gatos, CA
  • NPI 1689162166
  Medicare reassignment Care Compare group NPD
• Elite Physical Therapy and Wellness, Inc.

  • Physical Therapist
  • La Quinta, CA
  • NPI 1780702209
  NPD

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

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1750171641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 LYNDON FARM CT STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13313 PALM DR STE B",
            "city": "DESERT HOT SPRINGS",
            "state": "CA",
            "postal_code": "922405980",
            "telephone_number": "760-671-4760",
            "fax_number": "760-671-4798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONTONUWU",
        "first_name": "KEVIN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "308035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rolando Peralta
• Cecilia Pham, PHARMD
• Bobby Phillips
• Paula Pilato, BSN RN
• Walter Emory Pinkerton III, LMFT
• Lakeithea Anne Porter
• Maryam Poursartip, M.D.
• Antonia Pridemore
• John Prince, PPS: COUNSELOR
• Arla Provo

• Physical Therapist in Desert Hot Springs, CA
• Providers in Desert Hot Springs, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.