Active NPI
Kyle Christopher Nesser, DPT
- Physical Therapist
- Palm Coast, FL
National Provider Identifier
1275858359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305205637
- Practice address
- 3 Edge PL
Palm Coast, FL 32164-6333 - Phone
- (352) 870-7513
- NPI assigned
- Apr 1, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305205637 | VA | Primary |
Addresses
Primary practice location
3 Edge PL
Palm Coast, FL 32164-6333
Mailing address
3 Edge PL
Palm Coast, FL 32164-6333
Phone (352) 870-7513
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 |
|---|---|---|---|
| 2305205637 | VA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270080000000",
"number": "1275858359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 EDGE PL",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321646333",
"telephone_number": "352-870-7513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 EDGE PL",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321646333",
"telephone_number": "352-870-7513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NESSER",
"first_name": "KYLE",
"middle_name": "CHRISTOPHER",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-01",
"last_updated": "2010-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305205637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Coast, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.