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Deactivated NPI 1821076852 Deactivated / Inactive NPI Male Practitioner

Dr. Ilya Kaminsky , RPT, DC

Chiropractor • Los Angeles, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Ilya Kaminsky has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 09, 2006
NPI Deactivation Date July 02, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Ilya Kaminsky, RPT, DC was a registered Chiropractor practicing in Los Angeles, CA. Throughout an active medical career spanning 20 years, Dr. Kaminsky provided care at the practice location at 6333 WILSHIRE BLVD until profile deactivation on 2026-07-02.

Historical Medicare Part B clinical services included therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each, therapy procedure using manual technique, each, electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

6333 Wilshire Blvd
101

Los Angeles, CA 900485702

Telephone 3239662676
Fax 3239662677
Associated Practice Facility / Clinic
🏢 Forever Young, Inc. Facility NPI 1134148190

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Los Angeles, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.0 Yrs
State Avg: 27.5 Yrs
Regional Practice Density
546 Specialists

Practicing in Los Angeles, CA (12100 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
45.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
301 42 $70.00 $30.25
97140 Therapy procedure using manual technique, each 15 minutes
280 42 $70.00 $21.97
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care
215 30 $25.00 $9.44
97161 Evaluation of physical therapy, typically 20 minutes
169 154 $150.00 $108.99

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License CA DC25455

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Marion Chryss Wabe , RPT

Physical Therapist

NPI 1073033122

Registered Physical Therapist

Julian Andalon

Physical Therapist

NPI 1366321796
Philippe Badere , RPT

Physical Therapist

NPI 1609000736

Registered Physical Therapist

Dr. Samantha Atty , DPT

Physical Therapist

NPI 1760246789

Doctor of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
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NPI Profile Deactivated July 02, 2026

Record deactivated on July 02, 2026

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 17, 2026

Physical Therapist (License #PT19092 in CA)

NPI Profile Active May 18, 2009

NPI status registered as active in NPPES database

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Updated Practice Location May 18, 2009

Registered at 6333 WILSHIRE BLVD, 101, LOS ANGELES, CA 900485702 (Tel: 3239662676)

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Updated Business Mailing Address May 18, 2009

Registered at 2321 ACHILLES DR, LOS ANGELES, CA 900461623 (Tel: 3239662676)

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Provider Name / Credentials Updated May 18, 2009

Recorded as ILYA KAMINSKY, RPT, DC

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 18, 2009

Chiropractor (License #DC25455 in CA)

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Initial NPI Registration & Enumeration January 09, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1821076852
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 09, 2006
Last Update: May 18, 2009
Deactivation Date: July 02, 2026

Mailing Address

2321 Achilles Dr

Los Angeles, CA 900461623

Phone: 3239662676

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.