Kyle Sparkes, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5843 Issued in OK

Practice address

11900 N Macarthur Blvd Ste F7
Oklahoma City, OK 73162-1801

Phone

(405) 633-0783

Fax

(405) 896-8414

NPI assigned

Sep 28, 2020

Sex

Male

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

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Kyle Sparkes DPT PLLC

  • Physical Therapist
  • Oklahoma City, OK
  • NPI 1740147636
  Medicare reassignment NPD Authorized official
• Grayson Starbuck, DPT, PLLC

  • Physical Therapist
  • Oklahoma City, OK
  • NPI 1396334082
  Medicare reassignment NPD
• Starbuck Medical LLC

  • Nurse Practitioner
  • Oklahoma City, OK
  • NPI 1770255200
  NPD

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1104433887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10428 NW 37TH ST",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730993209",
            "telephone_number": "405-519-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 N MACARTHUR BLVD STE F7",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731621801",
            "telephone_number": "405-633-0783",
            "fax_number": "405-896-8414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKES",
        "first_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-28",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "5843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200937650A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• SP Healthcare Management LLC
• Donald P Spadone, MD
• Valerie Nicole Spall, M.S.
• Richard Spangler, MD
• Karli Mathis Spann
• Sparkles ABA Ok LLC
• Amy L. Sparkman, M.D.
• Jeffrey M Sparkman, M.D.
• Mary Sue Sparkman, MSW, LCSW
• Anthony L Sparks, MD

• Physical Therapist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.