Individual provider Active NPI

Kylie Batterson, DPT

  • Physical Therapist
  • Ottumwa, IA
National Provider Identifier
1205212701
Registry record updated Aug 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
078601 Issued in IA
Practice address
115 S Washington St
Ottumwa, IA 52501-2531
Phone
(641) 682-8171
Fax
(641) 682-9054
NPI assigned
Aug 6, 2015
Last updated
Aug 6, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2015

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 078601 IA Primary

Addresses

Primary practice location

115 S Washington St
Ottumwa, IA 52501-2531

Mailing address

PO Box 474
Eddyville, IA 52553-0474
Phone (641) 682-8171

Other identifiers 1

IdentifierTypeStateIssuer
0665349MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210610002207 IA Practitioner - Physical Therapist in Private Practice 7719396167 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, 1,432 clinicians

Practice addresses (Care Compare)

1555 S 1St Ave
Iowa City, IA 52240-6057
Phone (319) 396-0222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
078601IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Iowa Physio LLC Physical Therapist CurrentSince May 1, 2021 Accepting new patients
Physiotherapy Assoicates, Inc. CurrentSince May 10, 2021 Accepting new patients
Physiotherapy Associates Inc Current Accepting new patients
Physiotherapy Associates Inc CurrentSince May 10, 2021 Accepting new patients
Central Iowa Physio LLC Current Accepting new patients
Central Iowa Physio, LLC CurrentSince May 1, 2021 Accepting new patients

Locations

4700 Tama St SE
Ste 700
Cedar Rapids, IA 52403
Phone (319) 447-0700

2166 Blairs Ferry Rd
Hiawatha, IA 52233
Phone (319) 395-6000

1555 S 1st Ave
Iowa City, IA 52240
Phone (319) 248-6800

115 S Washington St
Ottumwa, IA 52501
Phone (641) 682-8171

1307 S Broadway St
Toledo, IA 52342
Phone (641) 484-5253

Organizations & group practices 6

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": "1438819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438819200000",
    "number": "1205212701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 474",
            "city": "EDDYVILLE",
            "state": "IA",
            "postal_code": "525530474",
            "telephone_number": "641-682-8171",
            "fax_number": "641-682-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S WASHINGTON ST",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525012531",
            "telephone_number": "641-682-8171",
            "fax_number": "641-682-9054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATTERSON",
        "first_name": "KYLIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-06",
        "last_updated": "2015-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "078601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0665349",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottumwa, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; 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.