Individual provider Active NPI

Lance Kyle

  • Physical Therapist
  • Virginia Beach, VA
National Provider Identifier
1023615002
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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

Updated by the provider on Mar 29, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210104000013 SC Practitioner - Physical Therapist in Private Practice 8325451719 Reassigns benefits to 1 organization
I20220415000128 VA Practitioner - Physical Therapist in Private Practice 8325451719 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
72.99 of 100Reported as group
Quality
66.22
Improvement activities
40
Cost
55.03

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP030290TDCMDPhysical Therapist
2305213819VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pt2Go, LLC Physical Therapist CurrentSince Dec 15, 2022 Accepting new patients
Drayer Physical Therapy-South Carolina, LLC Physical Therapist CurrentSince Sep 21, 2020 Accepting new patients
The Therapy Network Inc Physical Therapist CurrentSince Dec 3, 2021 Accepting new patients
Vim LLC Physical Therapist CurrentSince Dec 3, 2023 Accepting new patients
Drayer Physical Therapy - South Carolina, LLC Physical Therapist CurrentSince Sep 21, 2020 Accepting new patients
Center for Work Recovery Physical Therapist PastSince Feb 27, 2022 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.

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.

Verify at the official NPI Registry.