Active NPI
Kinley May McCracken, DPT
- Physical Therapist
- Pleasanton, CA
National Provider Identifier
1972810042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT37079
- Practice address
- 3283 Bernal Ave
Suite 105
Pleasanton, CA 94566-6237 - Phone
- (925) 846-1848
- Fax
- (925) 846-1851
- NPI assigned
- Sep 9, 2010
- 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 | PT37079 | CA | Primary |
Addresses
Primary practice location
3283 Bernal Ave
Suite 105
Pleasanton, CA 94566-6237
Mailing address
3283 Bernal Ave
Suite 105
Pleasanton, CA 94566-6237
Phone (925) 846-1848
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spinal Cord Injury Functional Integrated Therapy | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Rehabilitation Clinic/Center
- Dublin, CA
- NPI 1356751168
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400544000000",
"number": "1972810042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3283 BERNAL AVE",
"address_2": "SUITE 105",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945666237",
"telephone_number": "925-846-1848",
"fax_number": "925-846-1851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3283 BERNAL AVE",
"address_2": "SUITE 105",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945666237",
"telephone_number": "925-846-1848",
"fax_number": "925-846-1851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCRACKEN",
"first_name": "KINLEY",
"middle_name": "MAY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-09",
"last_updated": "2014-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT37079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pleasanton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.