Individual provider Active NPI

Kyle Daniel Scheller, DPT

  • Physical Therapist
  • Yorba Linda, CA
National Provider Identifier
1285309492
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
19768 Yorba Linda Blvd
Yorba Linda, CA 92886-2801
Phone
(714) 693-0460
NPI assigned
Aug 10, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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 Primary

Addresses

Primary practice location

19768 Yorba Linda Blvd
Yorba Linda, CA 92886-2801

Mailing address

19768 Yorba Linda Blvd
Yorba Linda, CA 92886-2801

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210819003798 CA Practitioner - Physical Therapist in Private Practice 6507261120 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Rise Physical Therapy IncGroup PAC ID 2062636079, 55 clinicians

Practice addresses (Care Compare)

380 Stevens Ave
Suite 314
Solana Beach, CA 92075-2069
Phone (858) 755-5200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Wellness Solutions Inc Physical Therapist CurrentSince Aug 13, 2021 Accepting new patients
California Rehab & Sports Therapy CurrentSince Sep 1, 2022 Accepting new patients
California Rehabilitation & Sports Therapy a California Physical Ther Physical Therapist Current Accepting new patients
Proactive Physical Therapy & Sports Medicine Inc Physical Therapist CurrentSince Aug 5, 2024 Accepting new patients
California Rehabilitation & Sports Therapy a California Physical Ther CurrentSince Sep 1, 2022 Accepting new patients
DPT Holdings PLLC Physical Therapist PastSince Sep 1, 2025 Accepting new patients

Locations

505 N Euclid St
Ste 680
Anaheim, CA 92801
Phone (714) 780-0010

6070 Avenida Encinas
Ste 100
Carlsbad, CA 92011
Phone (760) 444-0102

4755 Katella Ave
Ste 101
Cypress, CA 90720
Phone (657) 213-8687

19582 Beach Blvd
Ste 130
Huntington Beach, CA 92648
Phone (714) 841-6162

7071 Warner Ave
Ste A
Huntington Beach, CA 92647
Phone (714) 847-3800

16897 Algonquin St
Ste 101
Huntington Beach, CA 92649
Phone (714) 475-2226

2888 Long Beach Blvd
Ste 405
Long Beach, CA 90806
Phone (562) 595-4489

19768 Yorba Linda Blvd
Yorba Linda, CA 92886
Phone (714) 693-0460

Organizations & group practices 7

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": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1285309492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19768 YORBA LINDA BLVD",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928862801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19768 YORBA LINDA BLVD",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928862801",
            "telephone_number": "714-693-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHELLER",
        "first_name": "KYLE",
        "middle_name": "DANIEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorba Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.