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KOURTNEY MARIE KINGSMORE
NPI 1144093477
Physical Therapist - Pediatrics in San Clemente, CA

Active since October 30, 2023
1000 CALLE AMANECER, SAN CLEMENTE, CA 92673(949) 498-5100 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kourtney Marie Kingsmore NPPES

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

KOURTNEY MARIE KINGSMORE (NPI 1144093477) is an individual pediatrics provider in San Clemente, California, licensed in California (PT304051) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1144093477
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameKOURTNEY MARIE KINGSMORE
Location Address1000 CALLE AMANECERSan Clemente, CA 92673-6214
Mailing Address206 1/2 Ruby AveNewport Beach, CA 92662-4802 · (805) 501-9277
Phone(949) 498-5100
Sole ProprietorNo
Enumeration DateOctober 30, 2023
NPPES CertifiedOctober 30, 2023
✔ NPI 1144093477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License✔ Licensed in CA · PT304051
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
1000 CALLE AMANECER, San Clemente, CA 92673
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Other Providers at the Same Location NPPES 20

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

KELLY CHRISTINE MACLEOD
Speech-Language Pathologist
1000 CALLE AMANECER
SAN CLEMENTE, CA 92673
Orange County (949) 498-5700
DEE MARSZAL
Occupational Therapist
1000 CALLE AMANECER
SAN CLEMENTE, CA 92673
Orange County (949) 498-5100
MACY FRASER CLARK OTR
Occupational Therapist
1000 CALLE AMANECER
SAN CLEMENTE, CA 92673
Orange County (949) 498-5100
MALIA ERTEL OTR/L, MS
Occupational Therapist (Pediatrics)
1000 CALLE AMANECER
SAN CLEMENTE, CA 92673
Orange County (949) 498-5100
KAITLIN KINNAMONT
Speech-Language Pathologist
1000 CALLE AMANECER
SAN CLEMENTE, CA 92673
Orange County (949) 498-5100
MISS ALLISON HELEN TUTEN DPT
Physical Therapist
1000 CALLE AMANECER
SAN CLEMENTE, CA 92673
Orange County (949) 498-5100
MRS. ADRIANNA MICHELLE ESQUIVEL RBT
Behavior Analyst
1000 CALLE AMANECER
SAN CLEMENTE, CA 92673
Orange County (949) 498-5100
MRS. NICOLE HELEN ELIZABETH ECCLES COTA/L
Occupational Therapy Assistant
1000 CALLE AMANECER
SAN CLEMENTE, CA 92673
Orange County (949) 498-5100

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 Kourtney Kingsmore's NPI number?

The NPI number for Kourtney Kingsmore is 1144093477. It was assigned to this individual provider in the NPPES registry on October 30, 2023.

Where is Kourtney Kingsmore located?

Kourtney Kingsmore practices at 1000 Calle Amanecer, San Clemente, CA 92673. The listed phone number is (949) 498-5100.

What is Kourtney Kingsmore's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for Kourtney Kingsmore was last updated on October 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.