KEVIN BROCK CUMMINGS
NPI 1457126823
Physical Therapist - Orthopedic in Rancho Cucamonga, CA

Q: What is Kevin Cummings's NPI number?

The NPI number for Kevin Cummings is 1457126823. It was assigned to this individual provider in the NPPES registry on November 16, 2023.

Q: What is Kevin Cummings's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Cummings was last updated on November 16, 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.

Active since November 16, 2023Accepts Medicare Assignment

9405 FAIRWAY VIEW PL, RANCHO CUCAMONGA, CA 91730(909) 481-7345 Get Directions Write a Review

NPPES record last updated: November 16, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Kevin Brock Cummings NPPES

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

KEVIN BROCK CUMMINGS (NPI 1457126823) is an individual orthopedic provider in Rancho Cucamonga, California, licensed in California (305118) and active in the NPI registry since November 2023. He is a graduate of Other (2023).

NPPES Registry Identity

NPI1457126823

Entity TypeIndividualMale

Primary Taxonomy2251X0800X

Provider Legal NameKEVIN BROCK CUMMINGS

Location Address9405 FAIRWAY VIEW PLRancho Cucamonga, CA 91730-0932

Mailing Address9405 Fairway View PlRancho Cucamonga, CA 91730-0932

Phone(909) 481-7345

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateNovember 16, 2023

NPPES CertifiedNovember 16, 2023

✔ NPI 1457126823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251X0800X

License✔ Licensed in CA · 305118

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

9405 FAIRWAY VIEW PL, Rancho Cucamonga, CA 91730

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kevin Brock Cummings is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153887591

PECOS Enrollment IDI20260727003010

Medicare Billing Reassignment

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

Western Physical Therapy, Inc.

384 mi

Physical Therapist

6125 KING RD, SUITE 102
Loomis, CA 95650

Reassigned Medicare billing, California enrollment
63 clinicians in this Medicare group

NPI 1023412509 (530) 221-9952

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 20

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

NESREEN SAAD DPT

Physical Therapist (Orthopedic)