Kyra Zhuyi Otoole, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT032407 Issued in PA

Practice address

1501 Lower State Rd Ste 308
North Wales, PA 19454-1201

Phone

(215) 997-9898

Fax

(215) 997-9899

NPI assigned

Jul 17, 2024

Sex

Female

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

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Total Performance Physical TherapyGroup PAC ID 7517132343, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Total Performance Physical Therapy

  • Physical Therapy Clinic/Center
  • North Wales, PA
  • NPI 1639465644
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1013755800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 LOWER STATE RD STE 308",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194541201",
            "telephone_number": "215-987-9898",
            "fax_number": "215-997-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 LOWER STATE RD STE 308",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194541201",
            "telephone_number": "215-997-9898",
            "fax_number": "215-997-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTOOLE",
        "first_name": "KYRA",
        "middle_name": "ZHUYI",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT032407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Wales Hand Rehabilitation, Inc.
• North Wales Hand Rehabilitation, Inc.
• Bryan J O'Neill, M.D.
• Mary M Oconnor, OTR/L CHT
• Optimal Therapy Inc
• Angela Owusu-Edusei, CRNP
• Oxygen Etc., LLC
• PA Medical Equipment and Supplies
• PA Pediatric Dentistry LLC
• Brian Joseph Pagano

• Physical Therapist in North Wales, PA
• Providers in North Wales, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.

Verify at the official NPI Registry.