Kylie Scott, PT, DPT, OCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

19389 N 59TH Ave
Glendale, AZ 85308

Phone

(623) 537-6000

Fax

(623) 537-6017

NPI assigned

Aug 25, 2006

Last updated

Aug 9, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kylie Eilders Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Performance Physical Therapy, LLC

  • Physical Therapist
  • Tempe, AZ
  • NPI 1962511949
  NPD (past)

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1093822827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 1/2 S LEROUX ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860015632",
            "telephone_number": "480-720-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19389 N 59TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85308",
            "telephone_number": "623-537-6000",
            "fax_number": "623-537-6017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 E Cedar Ave",
            "address_2": "Ste E-2",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860041600",
            "country_code": "US",
            "telephone_number": "928-214-7430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "KYLIE",
        "credential": "PT, DPT, OCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "6875",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYLIE",
            "last_name": "EILDERS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica Lynn Scott
• Kelly Leigh Scott, M.D., M.P.H
• Kendra Jean Scott, PA-C
• Kindra Leigh Scott
• Kristina Scott
• Lanett Scott, FP
• Robyn Lynne Scott, MA, LPC
• Sandra M Scott, RD, CNSC
• Shannon Carol Scott, DO
• Vicki Ellen Scott, LPC

• Physical Therapist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.