Active NPI
Kyle Bryant Bartgis, PT
- Physical Therapist
- Baltimore, MD
National Provider Identifier
1225383151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 24076
- Practice address
- 10 Light St
Baltimore, MD 21202-1435 - Phone
- (410) 646-8272
- NPI assigned
- Jul 17, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 24076 | MD | Primary |
Addresses
Primary practice location
10 Light St
Baltimore, MD 21202-1435
Mailing address
10 Light St
Baltimore, MD 21202-1435
Phone (410) 672-8970
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24076 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evolution Sports Physiotherapy - White Marsh, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Cockeysville, MD
- NPI 1134519838
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518048000000",
"number": "1225383151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 LIGHT ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212021435",
"telephone_number": "410-672-8970",
"fax_number": "410-672-8973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 LIGHT ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212021435",
"telephone_number": "410-646-8272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTGIS",
"first_name": "KYLE",
"middle_name": "BRYANT",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-17",
"last_updated": "2018-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "24076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.