Active NPI
Kylie Smerchek, PT, DPT
- Physical Therapist
- Ames, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 107023
- Practice address
- 4700 Mortensen Rd Ste 101
Ames, IA 50014-5580 - Phone
- (515) 337-1037
- NPI assigned
- Jun 10, 2021
- Last updated
- Nov 16, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 107023 | IA | Primary |
Addresses
Primary practice location
4700 Mortensen Rd Ste 101
Ames, IA 50014-5580
Mailing address
4700 Mortensen Rd Ste 101
Ames, IA 50014-5580
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107023 | Other | IA | PHYSICAL THERAPY LICENSE |
Other names 1
- Kylie McCann
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2901 Cedar St
Norwalk, IA 50211-9736
Phone (877) 407-3422
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Work Systems Rehab, PC | Physical Therapist | Current | Accepting new patients |
| Fox Rehab PT Ia PLLC | Physical Therapist | Current | Accepting new patients |
Locations
4700 Mortensen Rd
Ste 101
Ames, IA 50014
Phone (515) 337-1037
516 3rd St
Des Moines, IA 50309
Phone (515) 309-4706
604 Liberty St
Ste 227
Pella, IA 50219
Phone (641) 204-0046
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.
-
- Physical Therapist
- Norwalk, IA
- NPI 1730840240
-
dba Kinetic Edge Physical Therapy
- Physical Therapist
- Pella, IA
- NPI 1417047317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700092800000",
"number": "1154998870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 MORTENSEN RD STE 101",
"city": "AMES",
"state": "IA",
"postal_code": "500145580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 MORTENSEN RD STE 101",
"city": "AMES",
"state": "IA",
"postal_code": "500145580",
"telephone_number": "515-337-1037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMERCHEK",
"first_name": "KYLIE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-10",
"last_updated": "2023-11-16",
"certification_date": "2023-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "107023",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY LICENSE",
"identifier": "107023",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KYLIE",
"last_name": "MCCANN",
"credential": "PT, DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ames, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.