Individual provider Active NPI

Kyle Richard Morey, AT, PT, DPT

  • Physical Therapist
  • Buford, GA
National Provider Identifier
1306384441
Registry record updated Jun 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT013962 Issued in GA
Practice address
1839 Buford Hwy Ste 100
Buford, GA 30518-3672
Phone
(678) 450-9933
Fax
(678) 450-9966
NPI assigned
Feb 9, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 2094 TN
Physical Therapist 225100000X PT013962 GA Primary

Addresses

Primary practice location

1839 Buford Hwy Ste 100
Buford, GA 30518-3672

Mailing address

2400 Wisteria Dr Ste a
Snellville, GA 30078-2689
Phone (770) 982-0102

Other practice location 1

3575 Keith St NW
Ste 205
Cleveland, TN 37312-4324
Phone (423) 559-0444

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

LicenseStateTypeSpecialty
2094TNMDOccupational Therapy Assistant
PT013962GAMDPhysical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1306384441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 WISTERIA DR STE A",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782689",
            "telephone_number": "770-982-0102",
            "fax_number": "770-982-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1839 BUFORD HWY STE 100",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305183672",
            "telephone_number": "678-450-9933",
            "fax_number": "678-450-9966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3575 Keith St NW",
            "address_2": "Ste 205",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "TN",
            "postal_code": "373124324",
            "country_code": "US",
            "telephone_number": "423-559-0444",
            "fax_number": "423-559-0103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOREY",
        "first_name": "KYLE",
        "middle_name": "RICHARD",
        "credential": "AT, PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-09",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TN",
            "license": "2094",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT013962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buford, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.

Verify at the official NPI Registry.