Individual provider Active NPI

Kyle Randy Steiner, DC

  • Chiropractor
  • Gambrills, MD
National Provider Identifier
1053958215
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S04131 Issued in MD
Practice address
2391 Brandermill Blvd Ste 105
Gambrills, MD 21054-1985
Phone
(410) 721-2222
NPI assigned
Dec 6, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 013317 NY
Chiropractor 111N00000X S04131 MD Primary

Addresses

Primary practice location

2391 Brandermill Blvd Ste 105
Gambrills, MD 21054-1985

Mailing address

2391 Brandermill Blvd Ste 105
Gambrills, MD 21054-1985
Phone (410) 721-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
013317NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Molino Physical Therapy, PLLC CurrentSince Jan 23, 2020 Accepting new patients

Locations

2415 N Triphammer Rd
Ithaca, NY 14850
Phone (607) 257-7878

Organizations & group practices 1

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": "1575590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1053958215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2391 BRANDERMILL BLVD STE 105",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541985",
            "telephone_number": "410-721-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2391 BRANDERMILL BLVD STE 105",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541985",
            "telephone_number": "410-721-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEINER",
        "first_name": "KYLE",
        "middle_name": "RANDY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-06",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "013317",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S04131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gambrills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.