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

Kianna Alice Rezaei, PT, DPT

Individual provider Physical Therapist · NPI 1760355275

Kianna Alice Rezaei, PT, DPT is a Physical Therapist in Private Practice in San Diego, California. Qualified in 2025, 1 year ago. Practices with Physical Therapy Effect PC, an 8-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2025
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1601 Kettner Blvd Unit 11
San Diego, CA 92101-2539
Phone: (619) 544-1055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT308604 (CA)

Record details

NPI number1760355275
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedSeptember 29, 2025
Last updated in NPPESSeptember 29, 2025
Certification dateSeptember 29, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Physical Therapy Effect Pc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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