Kyle Alden Clontz, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2221 Issued in NC

Practice address

4132 Hickory Blvd
Granite Falls, NC 28630-8371

Phone

(828) 396-3168

Fax

(828) 728-8317

NPI assigned

Oct 24, 2006

Last updated

Aug 7, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Foothills Physical Therapy

  • Physical Therapy Clinic/Center
  • Granite Falls, NC
  • NPI 1740421122
  NPD (past) Authorized official

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249603200000",
    "number": "1366526915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4756 SAWMILLS SCHOOL RD",
            "city": "GRANITE FALLS",
            "state": "NC",
            "postal_code": "286309466",
            "telephone_number": "828-396-1824",
            "fax_number": "828-728-5996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4132 HICKORY BLVD",
            "city": "GRANITE FALLS",
            "state": "NC",
            "postal_code": "286308371",
            "telephone_number": "828-396-3168",
            "fax_number": "828-728-8317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLONTZ",
        "first_name": "KYLE",
        "middle_name": "ALDEN",
        "name_prefix": "Mr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2009-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "2221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camelot Manor Nursing Care Facility, Inc
• Anne Luckadoo Cannon, MSW
• Catawba Valley Resource LLC (Catawba Valley Resource Interventions and Consulting)
• Annette Chontos
• Belinda K Clark
• Terry L Coffey, RPH
• Ashley Ciriano Cohn, DNP, FNP-BC
• Community Pharmacy of Granite Falls, LLC (Granite Drug Center)
• Tiffany Connelly, LPCA
• Emily Blake Cook, FNP-C

• Physical Therapist in Granite Falls, NC
• Providers in Granite Falls, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2009; 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.