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

Mary Kavonian, PT, DPT

Individual provider Physical Therapist · NPI 1568145639

Mary Kavonian, PT, DPT is a Physical Therapist in Private Practice in Ventura, California. Qualified in 2023, 3 years ago. Practices with Second Wave Physical Therapy Inc, a 25-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2023
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

2895 Loma Vista Rd
Ventura, CA 93003-1572
Phone: (805) 360-5759
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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 304477 (CA)

Record details

NPI number1568145639
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedAugust 7, 2023
Last updated in NPPESAugust 7, 2023
Certification dateAugust 7, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Second Wave Physical Therapy Inc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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