Active NPI
Kayse Lynne Dymond, PT, DPT
- Physical Therapist
- Swiftwater, PA
National Provider Identifier
1245715556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01722100
- Practice address
- 6146 Sunset Dr
Swiftwater, PA 18370-7768 - Phone
- (570) 977-9078
- NPI assigned
- Oct 2, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT022572 | PA | |
| Physical Therapist | 225100000X | J10003782 | DE | |
| Physical Therapist | 225100000X | 40QA01722100 | NJ | Primary |
Addresses
Primary practice location
6146 Sunset Dr
Swiftwater, PA 18370-7768
Mailing address
6146 Sunset Dr
Swiftwater, PA 18370-7768
Phone (570) 977-9078
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 |
|---|---|---|---|
| J10003782 | DE | MD | Physical Therapist |
| 40QA01722100 | NJ | MD | Physical Therapist |
| PT022572 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558051200000",
"number": "1245715556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6146 SUNSET DR",
"city": "SWIFTWATER",
"state": "PA",
"postal_code": "183707768",
"telephone_number": "570-977-9078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6146 SUNSET DR",
"city": "SWIFTWATER",
"state": "PA",
"postal_code": "183707768",
"telephone_number": "570-977-9078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYMOND",
"first_name": "KAYSE",
"middle_name": "LYNNE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-02",
"last_updated": "2019-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT022572",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J10003782",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01722100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Swiftwater, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.