Individual provider Active NPI

Kylie Anne Whelan, DPT

  • Physical Therapist
  • Dallas, TX
National Provider Identifier
1164108254
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1378156 Issued in TX
Practice address
14999 Preston Rd Ste 108C
Dallas, TX 75254-9138
Phone
(214) 231-4154
Fax
(469) 672-5520
NPI assigned
Jun 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X SC
Physical Therapist 225100000X 1378156 TX Primary

Addresses

Primary practice location

14999 Preston Rd Ste 108C
Dallas, TX 75254-9138

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Other practice location 1

5667 Fm 1488 Rd
Magnolia, TX 77354-4299
Phone (281) 766-0278

Other practice location 2

905 Verdae Blvd Ste 104
Greenville, SC 29607-4098
Phone (864) 999-3371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230809000723 TX Practitioner - Physical Therapist in Private Practice 5991167876 Reassigns benefits to 1 organization
I20240517000756 SC Practitioner - Physical Therapist in Private Practice 5991167876 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3005 Lakeview Pkwy
Suite 400
Rowlett, TX 75088-3320
Phone (469) 344-4188

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as group
Quality
90
Improvement activities
40
Cost
75.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Greenville Proaxis Therapy LLC CurrentSince Apr 22, 2024 Accepting new patients
Ideal Physical Therapy of Texas LLC Physical Therapist CurrentSince Jun 9, 2025 Accepting new patients
Ideal Physical Therapy of Texas LLC CurrentSince Jun 9, 2025 Accepting new patients
Greenville Proaxis Therapy, LLC Physical Therapist CurrentSince Apr 22, 2024 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

33205 Collection Ctr Dr
Chicago, IL 60693

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

2400 N Pleasantburg Dr
Ste D
Greenville, SC 29609
Phone (864) 268-9040

103 N Main St
Greenville, SC 29601
Phone (864) 936-0502

103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753

111 Doctors Dr
Greenville, SC 29605
Phone (864) 242-4683

905 Verdae Blvd
Ste 104
Greenville, SC 29607
Phone (864) 522-6100

200 Patewood Dr
Ste C150
Greenville, SC 29615
Phone (864) 454-0904

2615 Woodruff Rd
Ste 400
Simpsonville, SC 29681
Phone (864) 537-5016

1400 W Georgia Rd
Ste 400
Simpsonville, SC 29680
Phone (864) 757-3053

727 SE Main St
Ste 200
Simpsonville, SC 29681
Phone (864) 454-6670

17051 Dallas Pkwy
Ste 450
Addison, TX 75001
Phone (214) 272-8561

4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325

6029 Forest Ln
Dallas, TX 75230
Phone (469) 872-7548

14999 Preston Rd
Ste 108C
Dallas, TX 75254
Phone (214) 231-4154

6333 E Mockingbird Ln
Ste 139
Dallas, TX 75214
Phone (469) 782-7786

9291 Garland Rd
Ste 110
Dallas, TX 75218
Phone (972) 892-4541

12747 Midway Rd
Ste 150
Dallas, TX 75244
Phone (469) 872-4562

2600 W 7th St
Ste 137
Fort Worth, TX 76107
Phone (682) 233-6462

5129 N Garland Ave
Ste 600
Garland, TX 75040
Phone (469) 838-4072

1515 N Town East Blvd
Ste 500
Mesquite, TX 75150
Phone (214) 273-2903

3005 Lakeview Pkwy
Ste 400
Rowlett, TX 75088
Phone (214) 607-9304

5400 Brodie Ln
Ste 295
Sunset Valley, TX 78745
Phone (512) 676-3949

809 Woodbridge Pkwy
Ste 200
Wylie, TX 75098
Phone (469) 299-5803

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1687478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1164108254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14999 PRESTON RD STE 108C",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752549138",
            "telephone_number": "214-231-4154",
            "fax_number": "469-672-5520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5667 Fm 1488 Rd",
            "address_purpose": "LOCATION",
            "city": "Magnolia",
            "state": "TX",
            "postal_code": "773544299",
            "country_code": "US",
            "telephone_number": "281-766-0278",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "905 Verdae Blvd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296074098",
            "country_code": "US",
            "telephone_number": "864-999-3371",
            "fax_number": "864-286-7481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHELAN",
        "first_name": "KYLIE",
        "middle_name": "ANNE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-23",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1378156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; 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.