DR. KIP ATTERBURY DPT
NPI 1063094464
Physical Therapist in Ukiah, CA

Active since April 25, 2021
271 OBSERVATORY AVE, UKIAH, CA 95482(707) 463-7346 Get Directions Write a Review

NPPES record last updated: January 9, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 9, 2023, May 7, 2021, Apr 25, 2021 (3 updates tracked since 2021).

About Dr. Kip Atterbury Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KIP ATTERBURY DPT (NPI 1063094464) is an individual physical therapist in Ukiah, California, licensed in California (PT294176) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1063094464
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameDR. KIP ATTERBURYCredential: DPT
Location Address271 OBSERVATORY AVEUkiah, CA 95482-5757
Mailing Address271 Observatory AveUkiah, CA 95482-5757
Sole ProprietorNo
Enumeration DateApril 25, 2021
Last NPPES UpdateJanuary 9, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2023
✔ NPI 1063094464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in CA · PT294176
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
271 OBSERVATORY AVE, Ukiah, CA 95482

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kip Atterbury Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Kip Atterbury reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
975 SERENO DRIVE
Vallejo, CA 94589
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Ambulatory Surgical)
271 OBSERVATORY AVE
UKIAH, CA 95482
Physical Therapist
271 OBSERVATORY AVE
UKIAH, CA 95482
Clinic/Center (Ambulatory Surgical)
271 OBSERVATORY AVE
UKIAH, CA 95482
Nurse Anesthetist, Certified Registered
271 OBSERVATORY AVE
UKIAH, CA 95482
Physical Therapist
271 OBSERVATORY AVE
UKIAH, CA 95482
Physical Therapist (Orthopedic)
271 OBSERVATORY AVE
UKIAH, CA 95482

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kip Atterbury's NPI number?

The NPI number for Kip Atterbury is 1063094464. It was assigned to this individual provider in the NPPES registry on April 25, 2021.

Where is Kip Atterbury located?

Kip Atterbury practices at 271 Observatory Ave, Ukiah, CA 95482. The listed phone number is (707) 463-7346.

What is Kip Atterbury's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Kip Atterbury enrolled in Medicare?

Yes. Kip Atterbury is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kip Atterbury's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kip Atterbury reassigns Medicare benefits to Permanente Medical Group Inc (Vallejo, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kip Atterbury's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kip Atterbury was last updated on January 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.