Active NPI
Lance Kyle
- Physical Therapist
- Virginia Beach, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1444 Kempsville Rd
Virginia Beach, VA 23464-7302 - Phone
- (757) 474-7490
- Fax
- (757) 474-7931
- NPI assigned
- Oct 3, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305213819 | VA | |
| Physical Therapist | 225100000X | CP030290T | DC | |
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
1444 Kempsville Rd
Virginia Beach, VA 23464-7302
Mailing address
PO Box 5982
Virginia Beach, VA 23471-0982
Phone (757) 496-3700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, VA
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 72.99 of 100
- Quality
- 66.22
- Improvement activities
- 40
- Cost
- 55.03
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP030290T | DC | MD | Physical Therapist |
| 2305213819 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pt2Go, LLC | Physical Therapist | Current | Accepting new patients |
| Drayer Physical Therapy-South Carolina, LLC | Physical Therapist | Current | Accepting new patients |
| The Therapy Network Inc | Physical Therapist | Current | Accepting new patients |
| Vim LLC | Physical Therapist | Current | Accepting new patients |
| Drayer Physical Therapy - South Carolina, LLC | Physical Therapist | Current | Accepting new patients |
| Center for Work Recovery | Physical Therapist | Past | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
7585 Saint Andrews Rd
Irmo, SC 29063
Phone (803) 749-5031
637 Kingsborough Sq
Ste F
Chesapeake, VA 23320
Phone (757) 547-7554
1450 Kempsville Rd
Ste 102
Virginia Beach, VA 23464
Phone (757) 455-8300
1444 Kempsville Rd
Virginia Beach, VA 23464
Phone (757) 474-7490
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711670400000",
"number": "1023615002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5982",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234710982",
"telephone_number": "757-496-3700",
"fax_number": "757-474-7931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1444 KEMPSVILLE RD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234647302",
"telephone_number": "757-474-7490",
"fax_number": "757-474-7931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KYLE",
"first_name": "LANCE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-03",
"last_updated": "2024-03-29",
"certification_date": "2024-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305213819",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DC",
"license": "CP030290T",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.