Kailyn Jean Angelo, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT030320 Issued in PA

Practice address

1700 Market St Ste 1005
Philadelphia, PA 19103-3920

Phone

(484) 883-4384

NPI assigned

Apr 12, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1093457723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 NORMA LN",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193825659",
            "telephone_number": "484-883-4384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MARKET ST STE 1005",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191033920",
            "telephone_number": "484-883-4384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELO",
        "first_name": "KAILYN",
        "middle_name": "JEAN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-12",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT030320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "kailynjangelo@gmail/com",
            "affiliation": "N",
            "address_1": "1700 Market St Ste 1005",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191033920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Angelicaid LLC
• Jessica Angelichio, PHARMD
• Kimberly Nicole Angelina, PA-C
• Anita Angelo, D.O.
• Domenica Theresa Angelo
• Mark Angelo, MD
• Sonia E. Angelo, M.D.
• Natalie Angeloni, CRNP
• Angels Are Real Homecare Agency LLC
• Angels Are US Home Health Agency, LLC

• Physical Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.