KELLEN MATSUNO (NPI# 1124509542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124509542 |
| Entity Type | Individual |
| Full Name | KELLEN MATSUNO |
| Credential | DPT |
| Practice Address |
1640 Marengo St Los Angeles CA 90033-1036 |
| Mailing Address |
3323 Hollydale Dr Los Angeles CA 90039-2112 |
| Practice Telephone | 3238651200 |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2018-08-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1640 MARENGO ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90033-1036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154429793 | Michael N Neely | Pediatrics | 1640 Marengo St, Hra 300, Los Angeles, CA 90033-1036 | 2006-09-20 |
| 1215581095 | Nicole Mary Gobreial | Physical Therapist | 1640 Marengo St, Los Angeles, CA 90033-1036 | 2019-07-30 |
| 1801377734 | Mark Christopher Zipser | Physical Therapist | 1640 Marengo St, Los Angeles, CA 90033-1036 | 2018-08-28 |
| 1891276002 | Brian David Stirling | Physical Therapist | 1640 Marengo St, Los Angeles, CA 90033-1036 | 2018-08-25 |
| 1700391299 | Kaitlin Whitney O'hara | Occupational Therapist | 1640 Marengo St, Los Angeles, CA 90033-1036 | 2017-12-06 |
| 1831604321 | Sarah Hanlon Myers | Occupational Therapist | 1640 Marengo St, Los Angeles, CA 90033-1036 | 2017-12-06 |
| 1609381193 | Naoya Ogura | Occupational Therapist | 1640 Marengo St, Los Angeles, CA 90033-1036 | 2017-12-06 |
| 1932619079 | Raquel Denise Saunders | Occupational Therapist | 1640 Marengo St, Los Angeles, CA 90033-1036 | 2017-10-03 |
| 1326563446 | Minnie Jan | Physical Therapist | 1640 Marengo St, Los Angeles, CA 90033-1036 | 2017-08-09 |
| 1962941435 | Jennifer M Okuno | Physical Therapist | 1640 Marengo St, Hra 102, Los Angeles, CA 90033-1036 | 2017-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376165050 | Noa Yee | Student in an Organized Health Care Education/Training Program | 1200 N. State Street, Gnh 1011, Los Angeles, CA 90033 | 2020-05-15 |
| 1629690144 | Monica Lopez | Respiratory Therapist, Registered | 1251 Marengo St, Los Angeles, CA 90033 | 2020-05-07 |
| 1649890401 | Antonio Hernandez Saenz | Student in an Organized Health Care Education/Training Program | 1200 N. State Street Gnh 1060k, Los Angeles, CA 90033 | 2020-04-22 |
| 1417585100 | Kelsey Grace Shea | Student in an Organized Health Care Education/Training Program | 1200 N State St Ird 112, Los Angeles, CA 90033 | 2020-03-30 |
| 1891322780 | Carolyn Kan | Student in an Organized Health Care Education/Training Program | 1200 North State Street Clinic Tower, Suite A7d, Los Angeles, CA 90033 | 2020-03-23 |
| 1902445786 | Maury M Hopkins | Registered Nurse | 1883 Marengo Street, Los Angeles, CA 90033 | 2019-12-27 |
| 1982259792 | Beverly Austin Mccabe | Registered Nurse | 1720 E. Cesar Chavez Ave., Los Angeles, CA 90033 | 2019-08-08 |
| 1093369399 | Christine Yoon | Pharmacist | 1611 E Cesar Chavez Ave, Los Angeles, CA 90033 | 2019-07-25 |
| 1073075339 | Johanna Keller | Student in an Organized Health Care Education/Training Program | La County +usc Medical Center, 2051 Marengo Street, Los Angeles, CA 90033 | 2019-04-04 |
| 1386115137 | Sonya Lorain Earley | Physician Assistant | 2020 Zonal Avenue, Ird 626, Los Angeles, CA 90033 | 2018-12-05 |
| Find all providers in zip 90033 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306452511 | Yacoub Abdallah | Physical Therapist | 3415 S Sepulveda Blvd Ste 550, Los Angeles, CA 90034-6984 | 2020-09-22 |
| 1487268330 | Katrina Mae Balacano Corpuz | Physical Therapist | 258 N Bonnie Brae St Apt 1, Los Angeles, CA 90026-5369 | 2020-09-08 |
| 1376152066 | 2be-fit Inc | Physical Therapist | 811 S Bedford St Apt 301, Los Angeles, CA 90035-1819 | 2020-07-28 |
| 1811526320 | Eunice Shepherd | Physical Therapist | 7077 Willoughby Ave Apt 617, Los Angeles, CA 90038-2389 | 2020-04-06 |
| 1982233805 | Dennis Martin Clarke | Physical Therapist | 1420 S Bedford St Apt 301, Los Angeles, CA 90035-3585 | 2020-04-02 |
| 1669010500 | Paulina Jessica Tapia | Physical Therapist | 350 S Reno St Apt 406, Los Angeles, CA 90057-1194 | 2019-12-10 |
| 1427695774 | Ingrid Michelle Naveira | Physical Therapist | 126 Cheesbroughs Ln, Los Angeles, CA 90063-2839 | 2019-12-05 |
| 1932743515 | Jacob Henry Jaffe | Physical Therapist | 10474 Santa Monica Blvd Ste #435, Los Angeles, CA 90025-6932 | 2019-11-06 |
| 1902448400 | Kristian Noguchi-salazar | Physical Therapist | 1335 N La Brea Ave Ste 3, Los Angeles, CA 90028-7565 | 2019-10-16 |
| 1306496740 | Lilit Petrosyan | Physical Therapist | 5419 Hollywood Blvd Ste C128, Los Angeles, CA 90027-3480 | 2019-09-18 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90033 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.