Active NPI
Kelsey Quiambao, PT, DPT
- Physical Therapist
- Fullerton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT307294
- Practice address
- 1027 N Harbor Blvd Ste B
Fullerton, CA 92832-1362 - Phone
- (714) 870-8478
- NPI assigned
- Feb 11, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT307294 | CA | Primary |
Addresses
Primary practice location
1027 N Harbor Blvd Ste B
Fullerton, CA 92832-1362
Mailing address
1150 N Voyager LN
Anaheim, CA 92801-1735
Phone (714) 757-7439
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
120 S Chaparral CT
Suite 150
Anaheim, CA 92808-2278
Phone (714) 998-9580
41278 Margarita Rd
Suite 102
Temecula, CA 92591-5579
Phone (951) 587-8105
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT307294 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reekstin Enterprises Inc. | Physical Therapist | Current | Accepting new patients |
| Core Total Body Physical Therapy, P.C. | Physical Therapist | Current | Accepting new patients |
Locations
120 S Chaparral Ct
Ste 150
Anaheim, CA 92808
Phone (714) 998-9580
1027 N Harbor Blvd
Ste B
Fullerton, CA 92832
Phone (714) 870-8478
1026 E Chapman Ave
Ste B
Orange, CA 92866
Phone (714) 538-1952
41278 Margarita Rd
Ste 102
Temecula, CA 92591
Phone (951) 587-8105
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.
-
- Physical Therapy Clinic/Center
- Fullerton, CA
- NPI 1134657299
Physical Therapist
-
- Physical Therapy Clinic/Center
- Fullerton, CA
- NPI 1346266954
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739232000000",
"number": "1801601331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 N VOYAGER LN",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928011735",
"telephone_number": "714-757-7439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1027 N HARBOR BLVD STE B",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928321362",
"telephone_number": "714-870-8478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUIAMBAO",
"first_name": "KELSEY",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-11",
"last_updated": "2025-02-11",
"certification_date": "2025-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT307294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.