Kayla Epperson LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

KAYLA EPPERSON LLC

Practice address

141 S 1St St
St Charles, IL 60134

Phone

(630) 765-5155

NPI assigned

Sep 8, 2021

Organization subpart

No

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

Authorized official

Name

Kayla Epperson, DPTNPI 1609395979

Title

Owner

Phone

(630) 525-1129

Specialties & licenses 1

Addresses

Other names 1

• The Athlete Connection Doing business as

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kayla Epperson

  • Physical Therapist
  • Geneva, IL
  • NPI 1609395979
  NPD Authorized official

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631059200000",
    "number": "1316616964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1927 WESTERN AVE",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601343167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 S 1ST ST",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "60134",
            "telephone_number": "630-765-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAYLA EPPERSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-09-08",
        "certification_date": "2021-08-23",
        "status": "A",
        "authorized_official_last_name": "EPPERSON",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-525-1129",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://pteverywhere.com/PtE/s/theathleteconnection",
            "affiliation": "N",
            "address_1": "141 S 1st St",
            "city": "St Charles",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "The Athlete Connection",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katherine Douglas PLLC
• Katherine Schaefer Berg, PH.D., P.C.
• Kristen Wuich Kauke, LCSW
• Renee Kawecki, PT, DPT
• Amber L Kay
• Naheed Fatima Kazmi, PHARM, D.
• Melanie S Keane, SPT
• Edmund M Kearney, PH.D.
• Lisa Kearney
• Albert Richard Keating, PH.D., LCPC

• Physical Therapy Clinic/Center in St Charles, IL
• Providers in St Charles, IL by specialty
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.