Active NPI
Teresa M Kyle, RPT
- Physical Therapist
- Cullman, AL
National Provider Identifier
1083733265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH1221
- Practice address
- 1792 Al Highway 157
Cullman, AL 35058-3622 - Phone
- (256) 737-2831
- Fax
- (256) 737-2829
- NPI assigned
- Mar 28, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTH1221 | AL | Primary |
Addresses
Primary practice location
1792 Al Highway 157
Cullman, AL 35058-3622
Mailing address
577 Lee Rd
Hartselle, AL 35640-6141
Phone (256) 784-5760
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51537375 | Other | AL | BLUECROSSBLUESHIELD AL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PTH1221 | AL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cullman Regional Medical Center Inc | Past | Accepting new patients | |
| Diabetes Care Center | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Home Health Agency
- Cullman, AL
- NPI 1588655161
-
- Clinic/Center
- Cullman, AL
- NPI 1497746085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1083733265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "577 LEE RD",
"city": "HARTSELLE",
"state": "AL",
"postal_code": "356406141",
"telephone_number": "256-784-5760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1792 AL HIGHWAY 157",
"city": "CULLMAN",
"state": "AL",
"postal_code": "350583622",
"telephone_number": "256-737-2831",
"fax_number": "256-737-2829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KYLE",
"first_name": "TERESA",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-28",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH1221",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSSBLUESHIELD AL",
"identifier": "51537375",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cullman, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.