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

Kimberly Kenyon

Individual provider Physical Therapist · NPI 1992156988

Kimberly Kenyon is a Physical Therapist in Private Practice in Los Angeles, California. Qualified in 2016, 10 years ago. Practices with California Rehabilitation and Sports Therapy a California Physical The, a 181-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Illinois.

Years since qualifying
10
Licensed in
CA, IL
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

11710 Wilshire Blvd
Los Angeles, CA 90025-1503
Phone: (310) 494-1422
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 15 Apex Dr, Highland, IL 62249-1282 — (618) 441-0482

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT293586 (CA)
Physical Therapist Taxonomy 225100000X · Licence 070.022208 (IL)

Record details

NPI number1992156988
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 30, 2016
Last updated in NPPESMarch 17, 2018

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice California Rehabilitation And Sports Therapy A California Physical The — 181 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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