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

Kourtney Marie Kingsmore

Individual provider Pediatric Physical Therapist · NPI 1144093477

Kourtney Marie Kingsmore is a Pediatric Physical Therapist in San Clemente, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

1000 Calle Amanecer
San Clemente, CA 92673-6214
Phone: (949) 498-5100
Show map & directions

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

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X · Licence PT304051 (CA)

Record details

NPI number1144093477
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 30, 2023
Last updated in NPPESOctober 30, 2023
Certification dateOctober 30, 2023

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