KIANNA ALICE REZAEI PT, DPT
NPI 1760355275
Physical Therapist in San Diego, CA

Active since September 29, 2025Accepts Medicare Assignment
1601 KETTNER BLVD UNIT 11, SAN DIEGO, CA 92101(619) 544-1055 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kianna Alice Rezaei Pt, Dpt NPPES

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

KIANNA ALICE REZAEI PT, DPT (NPI 1760355275) is an individual physical therapist in San Diego, California, licensed in California (PT308604) and active in the NPI registry since September 2025. She is a graduate of Other (2025).

NPPES Registry Identity

NPI1760355275
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameKIANNA ALICE REZAEICredential: PT, DPT
Location Address1601 KETTNER BLVD UNIT 11San Diego, CA 92101-2539
Mailing Address4107 Mount Alifan Pl Unit CSan Diego, CA 92111-2802 · (949) 812-1027
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 29, 2025
NPPES CertifiedSeptember 29, 2025
NPI 1760355275 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 · PT308604
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.
1601 KETTNER BLVD UNIT 11, San Diego, CA 92101

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kianna Alice Rezaei Pt, Dpt 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 ID8820587850
PECOS Enrollment IDI20251030001336

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

Physical Therapist
1601 KETTNER BLVD UNIT 11
SAN DIEGO, CA 92101
Massage Therapist
1601 KETTNER BLVD UNIT 11
SAN DIEGO, CA 92101
Physical Therapist
1601 KETTNER BLVD UNIT 11
SAN DIEGO, CA 92101
Physical Therapist
1601 KETTNER BLVD UNIT 11
SAN DIEGO, CA 92101
Physical Therapist
1601 KETTNER BLVD UNIT 11
SAN DIEGO, CA 92101

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 Kianna Rezaei's NPI number?

The NPI number for Kianna Rezaei is 1760355275. It was assigned to this individual provider in the NPPES registry on September 29, 2025.

Where is Kianna Rezaei located?

Kianna Rezaei practices at 1601 Kettner Blvd Unit 11, San Diego, CA 92101. The listed phone number is (619) 544-1055.

What is Kianna Rezaei's specialty?

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

Is Kianna Rezaei enrolled in Medicare?

Yes. Kianna Rezaei is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kianna Rezaei was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.