Active NPI
Sean Kinsman, P.T., DPT
- Orthopedic Physical Therapist
- Walnut Creek, CA
National Provider Identifier
1750568093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 37091
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 149099 | AK | MD | Orthopedic Physical Therapist |
| PTL.0016235 | CO | MD | Orthopedic Physical Therapist |
| 12561 | CT | MD | Orthopedic Physical Therapist |
| 70024945 | IL | MD | Orthopedic Physical Therapist |
| 044438 | NY | MD | Orthopedic Physical Therapist |
| 5656 | OK | MD | Orthopedic Physical Therapist |
| PT028309 | PA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Physical Therapy Clinic/Center
- San Mateo, CA
- NPI 1699172031
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.