Active NPI
Kyla Galles, BS
- Physical Therapist
- Mukwonago, WI
National Provider Identifier
1154464857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10541-24
- Practice address
- 1231 S Rochester St Ste 210
Mukwonago, WI 53149-9032 - Phone
- (262) 710-9100
- Fax
- (262) 363-7798
- NPI assigned
- Feb 14, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070015518 | IL | |
| Physical Therapist | 225100000X | 10541-24 | WI | Primary |
Addresses
Primary practice location
1231 S Rochester St Ste 210
Mukwonago, WI 53149-9032
Mailing address
2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (570) 550-0168
Other practice location 1
4080 N Milwaukee Ave
Chicago, IL 60641-1831
Phone (773) 545-1153
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240807003820 | WI | Practitioner - Physical Therapist in Private Practice | 6406012038 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fox Rehabilitation Services Wi LLC
Practice addresses (Care Compare)
2130 Continental Dr
West Bend, WI 53095-7904
Phone (262) 338-0092
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.32 of 100
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Services Wi LLC | Physical Therapist | Current | Accepting new patients |
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 and National Provider Directory roles.
-
- Physical Therapist
- Milwaukee, WI
- NPI 1518483973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719792000000",
"number": "1154464857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2122 YORK RD STE 300",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231925",
"telephone_number": "570-550-0168",
"fax_number": "410-648-4878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1231 S ROCHESTER ST STE 210",
"city": "MUKWONAGO",
"state": "WI",
"postal_code": "531499032",
"telephone_number": "262-710-9100",
"fax_number": "262-363-7798"
}
],
"practiceLocations": [
{
"address_1": "4080 N Milwaukee Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606411831",
"country_code": "US",
"telephone_number": "773-545-1153",
"fax_number": "773-545-1568",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GALLES",
"first_name": "KYLA",
"credential": "BS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-14",
"last_updated": "2024-07-01",
"certification_date": "2024-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070015518",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "10541-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mukwonago, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.