Kyle Macmillan

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT020401 Issued in OH

Practice address

26202 Detroit Rd Ste 216
Westlake, OH 44145-2479

Phone

(216) 245-3496

NPI assigned

Jul 17, 2023

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bridge Rehab and Performance LLC

  • Physical Therapy Clinic/Center
  • Westlake, OH
  • NPI 1972339216
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1003595869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26202 DETROIT RD STE 216",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441452479",
            "telephone_number": "216-245-3496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26202 DETROIT RD STE 216",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441452479",
            "telephone_number": "216-245-3496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACMILLAN",
        "first_name": "KYLE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT020401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sevella Machen, M.D.
• Andrew Machesky, DO
• Karli Mack
• Kevin Mackay, DO
• Laura Mackellar, OTR/L
• Madison Eye Care Associates Inc
• Kristina Braunlich Maditz, D.O.
• Julia Mafrici, CNP
• Bethany Magers
• Samuel Magnusen

• Physical Therapist in Westlake, OH
• Providers in Westlake, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.