Kaylynne B. Ezzell, M.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9780 Issued in CO

Practice address

718 N Main St
Unit # 18
Gunnison, CO 81230-2412

Phone

(970) 641-3298

Fax

(970) 641-7369

NPI assigned

Dec 12, 2007

Last updated

Oct 18, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Heights Physical Therapy LLCGroup PAC ID 4880842939, 10 clinicians

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

• Heights Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Gunnison, CO
  • NPI 1225392871

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Heights Physical Therapy LLC

  • Physical Therapist
  • Lake City, CO
  • NPI 1033872973
  NPD Authorized official

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350518400000",
    "number": "1154504165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 N MAIN ST",
            "address_2": "UNIT # 18",
            "city": "GUNNISON",
            "state": "CO",
            "postal_code": "812302412",
            "telephone_number": "970-641-3298",
            "fax_number": "970-641-7369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 N MAIN ST",
            "address_2": "UNIT # 18",
            "city": "GUNNISON",
            "state": "CO",
            "postal_code": "812302412",
            "telephone_number": "970-641-3298",
            "fax_number": "970-641-7369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZZELL",
        "first_name": "KAYLYNNE",
        "middle_name": "B.",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-12",
        "last_updated": "2012-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "9780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elk Mountain Therapy Associates, LLC
• Samuel Elzay
• Emily Parsons LLC (Gunnison Pelvic Core Therapy)
• Alonso Escalante, MD
• Matthew Robert Estrada, LPC
• Trent M Ezzell, PT
• Family Vision Center, LLC
• Carla Fanciullo, OTR/L
• Lara Fellows
• Emily Ferrell, FNP

• Physical Therapist in Gunnison, CO
• Providers in Gunnison, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; 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.