Individual provider Active NPI

Kyle Daniel Vollmer, DPT

  • Physical Therapist
  • Cincinnati, OH
National Provider Identifier
1164830055
Registry record updated Jul 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
014915 Issued in OH
Practice address
10400 Reading Rd
Suite 105
Cincinnati, OH 45241-4816
Phone
(513) 733-3370
Fax
(513) 786-7893
NPI assigned
Jul 24, 2014
Last updated
Jul 24, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 014915 OH Primary

Addresses

Primary practice location

10400 Reading Rd
Suite 105
Cincinnati, OH 45241-4816

Mailing address

10400 Reading Rd
Suite 105
Cincinnati, OH 45241-4816
Phone (513) 733-3370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140812001479 OH Practitioner - Physical Therapist in Private Practice 1658598842 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lees Rehabilitation Services IncGroup PAC ID 0345256491, 7 clinicians

Practice addresses (Care Compare)

1149 Stone Dr
Suite 400
Harrison, OH 45030-2763
Phone (513) 367-9299

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
014915OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Physical Therapy and Associates Inc. CurrentSince Jul 30, 2014 Accepting new patients
Rehabilitation Institute of Cincinnati, LLC Past Accepting new patients

Locations

10400 Reading Rd
Ste 105
Cincinnati, OH 45241
Phone (513) 733-3370

1200 Glendale Milford Rd
Cincinnati, OH 45215
Phone (513) 733-3370

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406160000000",
    "number": "1164830055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10400 READING RD",
            "address_2": "SUITE 105",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452414816",
            "telephone_number": "513-733-3370",
            "fax_number": "513-786-7893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 READING RD",
            "address_2": "SUITE 105",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452414816",
            "telephone_number": "513-733-3370",
            "fax_number": "513-786-7893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLLMER",
        "first_name": "KYLE",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-24",
        "last_updated": "2014-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "014915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; 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.