Leo Simon Kiralla, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

39692 Issued in CA

Practice address

1495 Victor Ave
Suite D
Redding, CA 96003-4093

Phone

(530) 221-9954

NPI assigned

Dec 6, 2012

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389571200000",
    "number": "1881939445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 HILLTOP DR APT 54",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960033797",
            "telephone_number": "949-378-8213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 VICTOR AVE",
            "address_2": "SUITE D",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960034093",
            "telephone_number": "530-221-9954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRALLA",
        "first_name": "LEO",
        "middle_name": "SIMON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-06",
        "last_updated": "2014-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "39692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luther W. King, P.A.
• Kings View
• Kings View Corporation
• Jolene Angel Kingsley, DO
• Benton Clay Kinney, PA
• Sheyann Kirby, DO
• Jacqueline E Kirk, SP
• Michael Oleary Kirk, OT
• Kathryn Arlin Kirkman, MD
• Diana Kirschman, P.T.

• Physical Therapist in Redding, CA
• Providers in Redding, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.