Individual provider Active NPI

Bryan A Kyle, P.T. C.S.C.S

  • Physical Therapist
  • Dayton, OH
National Provider Identifier
1124239058
Registry record updated Jul 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9191 Issued in OH
Practice address
4801 Springfield St
Dayton, OH 45431-1084
Phone
(937) 236-9965
NPI assigned
May 24, 2007
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

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.

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9191OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery County Educational Service Center PastSince Jul 28, 2019 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 9191 OH Primary

Addresses

NPPES NPI Registry

Primary practice location

4801 Springfield St
Dayton, OH 45431-1084

Mailing address

1343 Winchester Dr
Troy, OH 45373-8227
Phone (937) 335-5001

Other practice location 1

One wyoming st
Dayton, OH 45409
Phone (937) 208-3078

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 26, 2019.

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564099200000",
    "number": "1124239058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1343 WINCHESTER DR",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453738227",
            "telephone_number": "937-335-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 SPRINGFIELD ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454311084",
            "telephone_number": "937-236-9965"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "One wyoming st",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "45409",
            "country_code": "US",
            "telephone_number": "937-208-3078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KYLE",
        "first_name": "BRYAN",
        "middle_name": "A",
        "credential": "P.T. C.S.C.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2019-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "9191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; 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.