Kianna Alice Rezaei, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT308604 Issued in CA

Practice address

1601 Kettner Blvd Unit 11
San Diego, CA 92101-2539

Phone

(619) 544-1055

NPI assigned

Sep 29, 2025

Sex

Female

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, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physical Therapy Effect PCGroup PAC ID 4385870062, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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 Effect PC

  • Physical Therapist
  • San Diego, CA
  • NPI 1659703502
  Medicare reassignment Care Compare group NPD
• Adams Physical Therapy

  • Physical Therapist
  • San Diego, CA
  • NPI 1114970050
  NPD (past)

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

{
    "created_epoch": "1759104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1760355275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4107 MOUNT ALIFAN PL UNIT C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921112802",
            "telephone_number": "949-812-1027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 KETTNER BLVD UNIT 11",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012539",
            "telephone_number": "619-544-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZAEI",
        "first_name": "KIANNA",
        "middle_name": "ALICE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-29",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT308604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iraida Reynoso
• Olympia Reynoso
• Sandra Reynoso
• Reza Kasiri
• Nathan A Reza
• Pardis Rezaeipour
• Farideh H Rezai, PH.D
• Chanah Reznick
• Vivian Mary Reznik, M.D.
• Yuri Reznik, MD

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.