Individual provider Active NPI

Kayla Nichole Ives, DPT

  • Physical Therapist
  • Omaha, NE
National Provider Identifier
1346648615
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3818 Issued in NE
Practice address
2806 S 110TH CT
Omaha, NE 68144-4814
Phone
(402) 502-8374
Fax
(402) 819-0916
NPI assigned
Dec 18, 2014
Last updated
Jan 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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 3818 NE Primary

Addresses

Primary practice location

2806 S 110TH CT
Omaha, NE 68144-4814

Mailing address

2806 S 110TH CT
Omaha, NE 68144-4814
Phone (402) 502-8374

Other names 1

  • Kayla Nichole Ysteboe Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180510000552 NE Practitioner - Physical Therapist in Private Practice 1951626464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of North Dakota School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Pelvic PhysioGroup PAC ID 1658803895, 8 clinicians

Practice addresses (Care Compare)

2806 S 110TH CT
Omaha, NE 68144-4814
Phone (402) 502-8374

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3818NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Pelvic Physio Physical Therapist CurrentSince Jun 4, 2024 Accepting new patients
Makovicka Harms Group, PC Physical Therapist PastSince May 2, 2018 Accepting new patients

Locations

2806 S 110th Ct
Omaha, NE 68144
Phone (402) 502-8374

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1418860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1346648615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2806 S 110TH CT",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444814",
            "telephone_number": "402-502-8374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2806 S 110TH CT",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444814",
            "telephone_number": "402-502-8374",
            "fax_number": "402-819-0916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVES",
        "first_name": "KAYLA",
        "middle_name": "NICHOLE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-18",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "3818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "YSTEBOE",
            "middle_name": "NICHOLE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.