Individual provider Active NPI

Haley Kubinak, PT

  • Physical Therapist
  • Morro Bay, CA
National Provider Identifier
1760160261
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT304310 Issued in CA
Practice address
500 Quintana Rd
Morro Bay, CA 93442-1938
Phone
(805) 772-7358
NPI assigned
Jul 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT304310 CA Primary

Addresses

Primary practice location

500 Quintana Rd
Morro Bay, CA 93442-1938

Mailing address

500 Quintana Rd
Morro Bay, CA 93442-1938

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230720001402 CA Practitioner - Physical Therapist in Private Practice 5395105423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Medical University of South Carolina College of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
FWTW Inc.Group PAC ID 2264582576, 6 clinicians

Practice addresses (Care Compare)

500 Quintana Rd
Morro Bay, CA 93442-1938
Phone 8054418406204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT304310CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
FWTW Inc. CurrentSince Aug 4, 2025 Accepting new patients
San Luis Physical Therapy & Orthopedic Rehabilitation Inc Physical Therapist PastSince Jul 1, 2023 Accepting new patients
San Luis Physical Therapy & Orthopedic Rehabilitation Inc Physical Therapist Past Accepting new patients

Locations

500 Quintana Rd
Morro Bay, CA 93442
Phone (805) 441-8406

Organizations & group practices 3

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": "1688601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1760160261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 QUINTANA RD",
            "city": "MORRO BAY",
            "state": "CA",
            "postal_code": "934421938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 QUINTANA RD",
            "city": "MORRO BAY",
            "state": "CA",
            "postal_code": "934421938",
            "telephone_number": "805-772-7358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBINAK",
        "first_name": "HALEY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-06",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT304310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morro Bay, CA

Sources for this page

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