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

Mr. Matthew Ryan Kiminki, DPT

Individual provider Physical Therapist · NPI 1376185637

Mr. Matthew Ryan Kiminki, DPT is a Physical Therapist in Private Practice in LA Quinta, California. Qualified in 2019, 7 years ago. Practices with Hooman M Javanmardi Physical Therapist a Professional Corporation, a 4-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2019
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

44025 Jefferson St Ste 104
LA Quinta, CA 92253-4874
Phone: (760) 345-5453
Fax: (760) 345-7063
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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 PT297270 (CA)

Record details

NPI number1376185637
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedOctober 8, 2019
Last updated in NPPESOctober 8, 2019
Mailing address12040 Casa Linda Ct, Moreno Valley, CA 92555-1884

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 Hooman M Javanmardi Physical Therapist A Professional Corporation — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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