Individual provider Active NPI

Kyle Dorsey, DPT

  • Physical Therapist
  • National City, CA
National Provider Identifier
1790334316
Registry record updated Sep 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
297329 Issued in CA
Practice address
1626 Sweetwater Rd Ste Ab
National City, CA 91950-7645
Phone
(619) 474-5961
NPI assigned
Sep 6, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2019

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 297329 CA Primary

Addresses

Primary practice location

1626 Sweetwater Rd Ste Ab
National City, CA 91950-7645

Mailing address

3950 Leland St Apt F16
San Diego, CA 92106-1037
Phone (860) 841-3423

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191108000900 CA Practitioner - Physical Therapist in Private Practice 8820420029 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Performance Plus Physical Therapy, Inc.Group PAC ID 1850668773, 19 clinicians

Practice addresses (Care Compare)

1392 E Palomar St
Suite 503
Chula Vista, CA 91913-1895
Phone (619) 482-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
297329CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Jan 30, 2026 Accepting new patients
Performance Plus Physical Therapy, Inc. Physical Therapist CurrentSince Jul 8, 2021 Accepting new patients
The Chiro Office PastSince Jul 8, 2021 Accepting new patients

Locations

1392 E Palomar St
Ste 503
Chula Vista, CA 91913
Phone (619) 482-3000

386 E H St
Ste 203
Chula Vista, CA 91910
Phone (619) 482-3000

600 Palm Ave
Ste 126
Imperial Beach, CA 91932
Phone (619) 332-4200

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 409-4167

3400 E 8th St
Ste 108
National City, CA 91950
Phone (619) 482-3000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567728000000",
    "number": "1790334316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 LELAND ST APT F16",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921061037",
            "telephone_number": "860-841-3423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 SWEETWATER RD STE AB",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919507645",
            "telephone_number": "619-474-5961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORSEY",
        "first_name": "KYLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-06",
        "last_updated": "2019-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "297329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in National City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; 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.