Duane T Kiyota Jr., DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT4511 Issued in ME

Practice address

185 Ocean St
South Portland, ME 04106-3600

Phone

(207) 799-8226

Fax

(207) 799-9340

NPI assigned

Aug 17, 2015

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

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northwest Return to Work Mt VernonGroup PAC ID 6204151152, 5 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.

• Northwest Return to Work Mt Vernon

  • Orthopedic Physical Therapist
  • Mount Vernon, WA
  • NPI 1609279017
  Medicare reassignment Care Compare group NPD
• Valley Rehab Physical Therapy Inc

  • Physical Therapist
  • Mount Vernon, WA
  • NPI 1881810521
  NPD

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

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439856000000",
    "number": "1922474634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 MAIN ST",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040381340",
            "telephone_number": "207-839-5860",
            "fax_number": "207-839-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 OCEAN ST",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063600",
            "telephone_number": "207-799-8226",
            "fax_number": "207-799-9340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIYOTA",
        "first_name": "DUANE",
        "middle_name": "T",
        "name_suffix": "Jr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-17",
        "last_updated": "2015-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT4511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Kingsley, LAC
• Thomas M Kinkead, MD
• Kathryn J Kinney, LCSW
• Megan Lynn Kinsella, COTA/L
• John A Kivus, DMD
• Christopher Scott Kleeman, M.D.
• M. Elizabeth Knauft, M.D.
• Hera Knight, LMT
• Peter J Knight, ND
• Holly Knotowicz, SLP

• Physical Therapist in South Portland, ME
• Providers in South Portland, ME by specialty
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; 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.