Active NPI
Kyle Macey, DPT
- Orthopedic Physical Therapist
- Los Gatos, CA
National Provider Identifier
1124793484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 300568
- 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, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 300568 | CA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saratoga Orthopedic Sports Physical Therapy | Current | Accepting new patients | |
| Los Gatos Hand Therapy, LLC | Current | 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.
-
dba Saratoga Orthopedic Sports Therapy
- Physical Therapy Clinic/Center
- Saratoga, CA
- NPI 1841068715
-
- Occupational Therapist
- Los Gatos, CA
- NPI 1992371967
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.