Active NPI
Kylie Mann, DPT
- Physical Therapist
- Rancho Cucamonga, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 9660 Haven Ave Ste 130
Rancho Cucamonga, CA 91730-5897 - Phone
- (909) 269-5127
- NPI assigned
- Dec 7, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
9660 Haven Ave Ste 130
Rancho Cucamonga, CA 91730-5897
Mailing address
5664 Kate Way Unit 5
Fontana, CA 92336-4675
Phone (909) 638-3969
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9660 Haven Ave
Suite 130
Rancho Cucamonga, CA 91730-5897
Phone (909) 296-5127
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairbanks & Power Physical Therapy Corp. | Physical Therapist | Current | Accepting new patients |
Locations
949 S State St
Hemet, CA 92543
Phone (951) 929-9890
2 Peters Canyon Rd
Ste 100
Irvine, CA 92606
Phone (949) 679-3988
9660 Haven Ave
Ste 130
Rancho Cucamonga, CA 91730
Phone (909) 269-5127
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 Therapist
- Irvine, CA
- NPI 1912953936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720656000000",
"number": "1750987624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5664 KATE WAY UNIT 5",
"city": "FONTANA",
"state": "CA",
"postal_code": "923364675",
"telephone_number": "909-638-3969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9660 HAVEN AVE STE 130",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917305897",
"telephone_number": "909-269-5127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANN",
"first_name": "KYLIE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-07",
"last_updated": "2024-07-11",
"certification_date": "2024-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.