Individual provider Active NPI

Sean Kinsman, P.T., DPT

  • Orthopedic Physical Therapist
  • Walnut Creek, CA
National Provider Identifier
1750568093
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
37091 Issued in CA
Practice address
1670 Riviera Ave Ste 101
Walnut Creek, CA 94596-7316
Phone
(415) 754-8881
NPI assigned
Jan 29, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2020

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 21947 MD
Orthopedic Physical Therapist 2251X0800X 149099 AK
Orthopedic Physical Therapist 2251X0800X PTL.0016235 CO
Orthopedic Physical Therapist 2251X0800X 19391 MA
Orthopedic Physical Therapist 2251X0800X 044438 NY
Orthopedic Physical Therapist 2251X0800X 5656 OK
Orthopedic Physical Therapist 2251X0800X PT028309 PA
Orthopedic Physical Therapist 2251X0800X 70024945 IL
Orthopedic Physical Therapist 2251X0800X 12561 CT
Orthopedic Physical Therapist 2251X0800X 37091 CA Primary

Addresses

Primary practice location

1670 Riviera Ave Ste 101
Walnut Creek, CA 94596-7316

Mailing address

782B Sanches St
San Francisco, CA 94129-5214
Phone (415) 754-8881

Other practice location 1

1900 OFarrell St
suite 110
San Mateo, CA 94403-1386
Phone (650) 645-1119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149099AKMDOrthopedic Physical Therapist
PTL.0016235COMDOrthopedic Physical Therapist
12561CTMDOrthopedic Physical Therapist
70024945ILMDOrthopedic Physical Therapist
044438NYMDOrthopedic Physical Therapist
5656OKMDOrthopedic Physical Therapist
PT028309PAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kinsman Rehab Services Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1750568093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "782B SANCHES ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941295214",
            "telephone_number": "415-754-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 RIVIERA AVE STE 101",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945967316",
            "telephone_number": "415-754-8881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 OFarrell St",
            "address_2": "suite 110",
            "address_purpose": "LOCATION",
            "city": "San Mateo",
            "state": "CA",
            "postal_code": "944031386",
            "country_code": "US",
            "telephone_number": "650-645-1119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINSMAN",
        "first_name": "SEAN",
        "name_prefix": "Mr.",
        "credential": "P.T., DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-29",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "21947",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AK",
            "license": "149099",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CO",
            "license": "PTL.0016235",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MA",
            "license": "19391",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "044438",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OK",
            "license": "5656",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "PT028309",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IL",
            "license": "70024945",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CT",
            "license": "12561",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "37091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; 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.