Individual provider Active NPI

Kyle McLeod, PT, DPT

  • Orthopedic Physical Therapist
  • Cherry Hill, NJ
National Provider Identifier
1194463091
Registry record updated May 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Practice address
496 Kings Hwy N Ste 110
Cherry Hill, NJ 08034-1015
Phone
(856) 438-5633
NPI assigned
May 22, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X Primary

Addresses

Primary practice location

496 Kings Hwy N Ste 110
Cherry Hill, NJ 08034-1015

Mailing address

1244 S 15TH St
Philadelphia, PA 19146-3133

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230425000333 NY Practitioner - Physical Therapist in Private Practice 9537549779 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evolve Physical Therapy, PLLCGroup PAC ID 2668644527, 14 clinicians

Practice addresses (Care Compare)

1317 3Rd Ave
FL 9
New York, NY 10021-2963
Phone (212) 439-1596

202 W 74TH St
New York, NY 10023-2123
Phone (212) 439-1596

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
050257NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
BRM Physical Therapy PLLC Orthopedic CurrentSince Sep 21, 2025 Accepting new patients
3 Dimensional Physical Therapy - Pelvic Health LLC CurrentSince Feb 23, 2025 Accepting new patients
Evolve Physical Therapy, PLLC Orthopedic CurrentSince Apr 5, 2023 Accepting new patients

Locations

175 Route 70
Ste 19
Medford, NJ 08055
Phone (609) 257-3750

202 W 74th St
New York, NY 10023
Phone (212) 439-1596

1317 3rd Ave
Fl 9
New York, NY 10021
Phone (212) 439-1596

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1653177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653177600000",
    "number": "1194463091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 S 15TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191463133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 KINGS HWY N STE 110",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341015",
            "telephone_number": "856-438-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEOD",
        "first_name": "KYLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-22",
        "last_updated": "2022-05-22",
        "certification_date": "2022-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2022; 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.