Individual provider Active NPI

Kevin Herr, PT

  • Physical Therapist
  • Bakersfield, CA
National Provider Identifier
1982253100
Registry record updated Jan 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT297153 Issued in CA
Practice address
2603 G St
Bakersfield, CA 93301-2828
Phone
(661) 634-9440
Fax
(661) 634-9506
NPI assigned
Sep 10, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT297153 CA Primary

Addresses

Primary practice location

2603 G St
Bakersfield, CA 93301-2828

Mailing address

5337 Truxtun Ave
Bakersfield, CA 93309-0641
Phone (661) 328-0650

Other practice location 1

81557 Dr Carreon Blvd Ste C4
Indio, CA 92201-5562
Phone (760) 347-6195

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191031000231 CA Practitioner - Physical Therapist in Private Practice 4284966847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Coast Spine Restoration Center IncGroup PAC ID 7214824648, 19 clinicians

Practice addresses (Care Compare)

6177 River Crest Dr
Suite a
Riverside, CA 92507-0728
Phone (951) 653-4480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT297153CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
West Coast Spine Restoration Center, Inc Physical Therapist CurrentSince Mar 1, 2022 Accepting new patients
Martha Fair Williams Sportrehab Physical Therapy Physical Therapist CurrentSince Mar 30, 2020 Accepting new patients
CV Physical Therapy, Inc. PastSince Sep 1, 2019 Accepting new patients

Locations

6177 River Crest Dr
Ste A
Riverside, CA 92507
Phone (951) 653-4480

81 Cernon St
Vacaville, CA 95688
Phone (707) 447-9750

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611964800000",
    "number": "1982253100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5337 TRUXTUN AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090641",
            "telephone_number": "661-328-0650",
            "fax_number": "661-328-0654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 G ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012828",
            "telephone_number": "661-634-9440",
            "fax_number": "661-634-9506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "81557 Dr Carreon Blvd Ste C4",
            "address_purpose": "LOCATION",
            "city": "Indio",
            "state": "CA",
            "postal_code": "922015562",
            "country_code": "US",
            "telephone_number": "760-347-6195",
            "fax_number": "760-347-2849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERR",
        "first_name": "KEVIN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-10",
        "last_updated": "2021-01-30",
        "certification_date": "2021-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT297153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2021; 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.