Individual provider Active NPI

Kyle Kooker

  • Physical Therapist
  • Exton, PA
National Provider Identifier
1083477590
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT032059 Issued in PA
Practice address
501 Thomas Jones Way
Exton, PA 19341-2531
Phone
(484) 873-3700
NPI assigned
Feb 6, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 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 PT032059 PA Primary

Addresses

Primary practice location

501 Thomas Jones Way
Exton, PA 19341-2531

Mailing address

501 Thomas Jones Way
Exton, PA 19341-2531
Phone (483) 624-7420

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250109004083 PA Practitioner - Physical Therapist in Private Practice 3274061874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Strive Physical Therapy Specialists LLCGroup PAC ID 6709292535, 163 clinicians

Practice addresses (Care Compare)

1075 Virginia Dr
Suite 200
Fort Washington, PA 19034-3108
Phone (215) 619-4545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Strive Physical Therapy Specialists LLC CurrentSince Oct 27, 2024 Accepting new patients
Strive Physical Therapy Specialists LLC Physical Therapist CurrentSince Oct 27, 2024 Accepting new patients
Strive Physical Therapy Specialists LLC Physical Therapist Past Accepting new patients

Locations

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

1075 Virginia Dr
Ste 200
Ft Washington, PA 19034
Phone (215) 619-4545

5479 Pottsville Pike
Ste 200
Leesport, PA 19533
Phone (610) 926-6778

2 Penn Ctr
Ste 450
Philadelphia, PA 19102
Phone (215) 454-2812

Organizations & group practices 3

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": "1707177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1083477590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 THOMAS JONES WAY",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412531",
            "telephone_number": "483-624-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 THOMAS JONES WAY",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412531",
            "telephone_number": "484-873-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOOKER",
        "first_name": "KYLE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT032059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exton, PA

Sources for this page

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