Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kellen Matsuno, DPT

Individual provider Physical Therapist · NPI 1124509542

Kellen Matsuno, DPT is a Physical Therapist in Costa Mesa, California. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

766 Saint Clair St
Costa Mesa, CA 92626-4314
Phone: (206) 999-9153
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1124509542
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 23, 2018
Last updated in NPPESApril 6, 2024
Certification dateApril 6, 2024

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