Nicole Kielty

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

305160

Practice address

900 Veterans Blvd Ste 230
Redwood City, CA 94063-1740

Phone

(650) 701-0390

NPI assigned

Nov 13, 2023

Sex

Female

Sole proprietor

Yes

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Matoso Tognetti IncGroup PAC ID 3577508860, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Matoso-Tognetti, Inc.

  • Sports Physical Therapist
  • San Mateo, CA
  • NPI 1356405583
  Medicare reassignment Care Compare group NPD
• MMT Physical Therapy Inc

  • Sports Physical Therapist
  • San Francisco, CA
  • NPI 1174080931
  NPD (past)

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1790559409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1046 MONTGOMERY ST",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940703220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 VETERANS BLVD STE 230",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631740",
            "telephone_number": "650-701-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIELTY",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": "305160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalia Khilko, PHD, L.AC.
• Khosla Dermatology, Inc.
• Shaheen Khosla, D.O.
• Fady Sami Khoury, PHARMD
• Kid Kare Medical Associates Inc
• Emily Kieu
• Katherine Kieu, DDS
• Jana Sabiha Kikhia
• Kari Killianey, PSY.D.
• Angelique Kim, MD

• Physical Therapist in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.