Individual provider Active NPI

Keren Michelle Pinto, PT, DPT

  • Physical Therapist
  • Winnetka, CA
National Provider Identifier
1780089169
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT41632 Issued in CA
Practice address
19724 Kittridge St
Winnetka, CA 91306-4327
Phone
(818) 424-2413
NPI assigned
Oct 28, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 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 PT41632 CA Primary

Addresses

Primary practice location

19724 Kittridge St
Winnetka, CA 91306-4327

Mailing address

19724 Kittridge St
Winnetka, CA 91306-4327
Phone (818) 457-6652

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150114000019 CA Practitioner - Physical Therapist in Private Practice 9537483987 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

19724 Kittridge St
Winnetka, CA 91306-4327
Phone (818) 424-2413

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41632CAMDEndodontist
PT41632CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Restorative Arts Physical Therapy Inc Physical Therapist CurrentSince Nov 4, 2014 Accepting new patients
Bodywell Physical Therapy and Wellness, Inc. Physical Therapist CurrentSince Jan 5, 2021 Accepting new patients

Locations

12930 Ventura Blvd
Ste 226A
Studio City, CA 91604
Phone (818) 729-9419

Organizations & group practices 2

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": "1414454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1780089169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19724 KITTRIDGE ST",
            "city": "WINNETKA",
            "state": "CA",
            "postal_code": "913064327",
            "telephone_number": "818-457-6652",
            "fax_number": "818-350-5338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19724 KITTRIDGE ST",
            "city": "WINNETKA",
            "state": "CA",
            "postal_code": "913064327",
            "telephone_number": "818-424-2413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINTO",
        "first_name": "KEREN",
        "middle_name": "MICHELLE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-28",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT41632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnetka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.