Active NPI
Kyle Kamal, DPT
- Physical Therapist
- Alamogordo, NM
National Provider Identifier
1174839559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4019
- Practice address
- 2669 Scenic Dr
Alamogordo, NM 88310-8700 - Phone
- (413) 354-0064
- NPI assigned
- Aug 24, 2010
- Sex
- Male
- 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 | 19215 | MA | |
| Physical Therapist | 225100000X | 4019 | NM | Primary |
Addresses
Primary practice location
2669 Scenic Dr
Alamogordo, NM 88310-8700
Mailing address
2669 Scenic Dr
Alamogordo, NM 88310-8700
Phone (413) 354-0064
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19215 | MA | MD | Physical Therapist |
| 4019 | NM | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334534400000",
"number": "1174839559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2669 SCENIC DR",
"city": "ALAMOGORDO",
"state": "NM",
"postal_code": "883108700",
"telephone_number": "413-354-0064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2669 SCENIC DR",
"city": "ALAMOGORDO",
"state": "NM",
"postal_code": "883108700",
"telephone_number": "413-354-0064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMAL",
"first_name": "KYLE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-24",
"last_updated": "2012-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "19215",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "4019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alamogordo, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.