Active NPI
Tyson W Kymes, PT
- Physical Therapist
- Conway, AR
National Provider Identifier
1003951997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2409
- Practice address
- 575 Club LN
Conway, AR 72034-3681 - Phone
- (501) 329-5161
- Fax
- (501) 329-5158
- NPI assigned
- Feb 20, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2409 | AR | Primary |
Addresses
Primary practice location
575 Club LN
Conway, AR 72034-3681
Mailing address
575 Club LN
Conway, AR 72034-3681
Phone (501) 329-5161
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
821 Hogan Lane
Suite 800
Conway, AR 72034-7973
821 Hogan LN
Suite 800
Conway, AR 72034-7973
Phone (501) 329-5161
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2409 | AR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kymes-Lyons Physical Therapy and Sports Performance Center PA | Physical Therapist | Current | Accepting new patients |
Locations
575 Club Ln
Conway, AR 72034
Phone (479) 886-3232
821 Hogan Ln
Ste 800
Conway, AR 72034
Phone (501) 329-5161
Organizations & group practices 1
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.
-
- Rehabilitation Clinic/Center
- Conway, AR
- NPI 1679779920
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211241600000",
"number": "1003951997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 CLUB LN",
"city": "CONWAY",
"state": "AR",
"postal_code": "720343681",
"telephone_number": "501-329-5161",
"fax_number": "501-329-5158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 CLUB LN",
"city": "CONWAY",
"state": "AR",
"postal_code": "720343681",
"telephone_number": "501-329-5161",
"fax_number": "501-329-5158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KYMES",
"first_name": "TYSON",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-20",
"last_updated": "2008-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "2409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conway, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.