Active NPI
Kyle James Walenta, PT, DPT
- Physical Therapist
- Nashville, TN
National Provider Identifier
1013565068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12414
- Practice address
- 315 14TH Ave N
Nashville, TN 37203-3416 - Phone
- (615) 321-5698
- Fax
- (615) 321-5538
- NPI assigned
- Sep 3, 2019
- Sex
- Male
- Sole proprietor
- No
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 | 12414 | TN | Primary |
Addresses
Primary practice location
315 14TH Ave N
Nashville, TN 37203-3416
Mailing address
45 Vantage Way Apt 2429
Nashville, TN 37228-1641
Phone (616) 818-5366
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12414 | TN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567468800000",
"number": "1013565068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 VANTAGE WAY APT 2429",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372281641",
"telephone_number": "616-818-5366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 14TH AVE N",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372033416",
"telephone_number": "615-321-5698",
"fax_number": "615-321-5538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALENTA",
"first_name": "KYLE",
"middle_name": "JAMES",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-03",
"last_updated": "2019-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "12414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.