Individual provider Active NPI

Kyle Macey, DPT

  • Orthopedic Physical Therapist
  • Los Gatos, CA
National Provider Identifier
1124793484
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
300568 Issued in CA
Practice address
16615 Lark Ave Ste 101
Los Gatos, CA 95032-7645
Phone
(408) 358-1460
NPI assigned
Aug 10, 2021
Last updated
Aug 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 300568 CA Primary

Addresses

Primary practice location

16615 Lark Ave Ste 101
Los Gatos, CA 95032-7645

Mailing address

184 Merritt Rd
Los Altos, CA 94022-3027

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

LicenseStateTypeSpecialty
300568CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Orthopedic Sports Physical Therapy CurrentSince Dec 24, 2023 Accepting new patients
Los Gatos Hand Therapy, LLC CurrentSince Aug 15, 2021 Accepting new patients

Locations

16615 Lark Ave
Ste 101
Los Gatos, CA 95032
Phone (408) 358-1460

12333 Saratoga Sunnyvale Rd
Ste A
Saratoga, CA 95070
Phone (650) 814-3829

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1124793484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 MERRITT RD",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940223027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16615 LARK AVE STE 101",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950327645",
            "telephone_number": "408-358-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACEY",
        "first_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "300568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.