Individual provider Active NPI

Kyle S Cicero, DPT

  • Physical Therapist
  • Helena, MT
National Provider Identifier
1043503303
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
665 Road Runner St
Helena, MT 59602-0566
Phone
(406) 513-1422
Fax
(406) 513-1127
NPI assigned
May 19, 2011
Last updated
Jan 27, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

665 Road Runner St
Helena, MT 59602-0566

Mailing address

665 Road Runner St
Helena, MT 59602-0566
Phone (406) 513-1422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110721000799 MT Practitioner - Physical Therapist in Private Practice 9739357534 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascension Physical TherapyGroup PAC ID 3072815505, 8 clinicians

Practice addresses (Care Compare)

665 Rd Runner St
Helena, MT 59602-0566
Phone (406) 513-1422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Physical Therapy Physical Therapist CurrentSince Jan 18, 2016 Accepting new patients
Heuiser Physical Therapy PC Physical Therapist PastSince Jul 12, 2012 Accepting new patients

Locations

3345 Colton Dr
Unit A
Helena, MT 59602
Phone (406) 513-1422

Organizations & group practices 2

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": "1305763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1043503303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 ROAD RUNNER ST",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596020566",
            "telephone_number": "406-513-1422",
            "fax_number": "406-513-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 ROAD RUNNER ST",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596020566",
            "telephone_number": "406-513-1422",
            "fax_number": "406-513-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICERO",
        "first_name": "KYLE",
        "middle_name": "S",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-19",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.