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

Kenneth Poblete Igno

Individual provider Physical Therapist · NPI 1487465845

Kenneth Poblete Igno is a Physical Therapist in Private Practice in Lemon Grove, California. Qualified in 2019, 7 years ago. Practices with Performance Plus Physical Therapy, Inc, a 21-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2025

Practice location Address checks out

7050 Broadway
Lemon Grove, CA 91945-1406
Phone: (619) 745-5932
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 307445 (CA)

Record details

NPI number1487465845
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 15, 2025
Last updated in NPPESJanuary 15, 2025
Certification dateJanuary 15, 2025
Mailing address7050 Broadway, Lemon Grove, CA 91945-1406

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Performance Plus Physical Therapy, Inc. — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Lemon Grove