Individual provider Active NPI

Kyleigh Tolson, DPT

  • Physical Therapist
  • Indianapolis, IN
National Provider Identifier
1053824565
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05012671A Issued in IN
Practice address
6640 Parkdale PL Ste T
Indianapolis, IN 46254-5619
Phone
(317) 808-7070
Fax
(317) 808-7073
NPI assigned
Nov 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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 05012671A IN Primary

Addresses

Primary practice location

6640 Parkdale PL Ste T
Indianapolis, IN 46254-5619

Mailing address

33900 Harper Ave Ste 104
Clinton Township, MI 48035-4258
Phone (586) 350-2644

Other names 1

  • Kyleigh Lewis Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180103002832 IN Practitioner - Physical Therapist in Private Practice 3971861543 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Indiana Orthopedics IncGroup PAC ID 0941281836, 18 clinicians

Practice addresses (Care Compare)

745 Schnier St
Columbus, IN 47201-6657
Phone (812) 376-9353

Merit-based Incentive Payment System (MIPS)

Final score
81.73 of 100Reported as group
Quality
87.86
Improvement activities
40
Cost
61.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Team Rehabilitation Services, LLC Physical Therapist CurrentSince Oct 25, 2021 Accepting new patients
Fox Rehab Indiana LLC Physical Therapist CurrentSince Sep 1, 2024 Accepting new patients
Team Rehabilitation Services, LLC Physical Therapist CurrentSince Oct 25, 2021 Accepting new patients

Locations

14901 Carey Rd
Carmel, IN 46033

1992 E Stop 13 Rd
Indianapolis, IN 46227
Phone (317) 808-0230

6640 Parkdale Pl
Ste T
Indianapolis, IN 46254
Phone (317) 808-7070

33900 Harper Ave
Ste 104
Clinton Twp, MI 48035
Phone (586) 416-9100

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1053824565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33900 HARPER AVE STE 104",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480354258",
            "telephone_number": "586-350-2644",
            "fax_number": "586-541-3735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6640 PARKDALE PL STE T",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462545619",
            "telephone_number": "317-808-7070",
            "fax_number": "317-808-7073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLSON",
        "first_name": "KYLEIGH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-07",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05012671A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYLEIGH",
            "last_name": "LEWIS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.