Active NPI
Kevin Andrew Courvoisier, D.P.T.
- Physical Therapist
- Brea, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT41899
- Practice address
- 1800 E Lambert Rd
Suite 220
Brea, CA 92821-4370 - Phone
- (714) 256-5074
- Fax
- (714) 256-0770
- NPI assigned
- Sep 13, 2013
- Last updated
- Jun 9, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2013033153 | MO | |
| Physical Therapist | 225100000X | PT41899 | CA | Primary |
Addresses
Primary practice location
1800 E Lambert Rd
Suite 220
Brea, CA 92821-4370
Mailing address
1800 E Lambert Rd
Suite 220
Brea, CA 92821-4370
Phone (714) 256-5074
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT41899 | CA | MD | Physical Therapist |
| 2013033153 | MO | MD | Physical Therapist |
| 2013040780 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Therapy Solutions | Current | Accepting new patients | |
| California Therapy Solutions | Physical Therapist | Current | Accepting new patients |
| Babar Enterprises LLC | Physical Therapist | Past | Accepting new patients |
| Coury & Buehler Physical Therapy - Tustin/Santa Ana, Inc. | Physical Therapist | Past | Accepting new patients |
Locations
485 E 17th St
Ste 650
Costa Mesa, CA 92627
Phone (949) 722-7374
10900 Warner Ave
Ste 111
Fountain Vly, CA 92708
Phone (714) 369-2554
18682 Beach Blvd
Ste 130
Huntington Beach, CA 92648
Phone (714) 962-6600
Organizations & group practices 4
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.
-
- Physical Therapy Clinic/Center
- Fountain Valley, CA
- NPI 1548329519
Physical Therapist
-
- Specialist
- Huntington Beach, CA
- NPI 1265869523
-
dba Coury & Buehler Physical Therapy - Tustin Santa Ana
- Physical Therapist
- Tustin, CA
- NPI 1215459540
-
dba Excel Sports & Physical Therapy
- Physical Therapist
- Creve Coeur, MO
- NPI 1033178827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433808000000",
"number": "1942635503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 E LAMBERT RD",
"address_2": "SUITE 220",
"city": "BREA",
"state": "CA",
"postal_code": "928214370",
"telephone_number": "714-256-5074",
"fax_number": "714-256-0770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 E LAMBERT RD",
"address_2": "SUITE 220",
"city": "BREA",
"state": "CA",
"postal_code": "928214370",
"telephone_number": "714-256-5074",
"fax_number": "714-256-0770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COURVOISIER",
"first_name": "KEVIN",
"middle_name": "ANDREW",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-13",
"last_updated": "2015-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2013033153",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT41899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brea, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.