Kyle Joseph Black, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

13245 Issued in AZ

Practice address

350 S Main St
Florence, AZ 85132-8513

Phone

(520) 868-0098

Fax

(520) 868-1098

NPI assigned

Aug 22, 2017

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.32 of 100Reported as group

Quality

84.44

Promoting interoperability

99

Improvement activities

40

Cost

70.78

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kyle.black.p6@direct.athleticoltd.nextgenshare.com

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.

• Athletico LTD

  dba Athletico Physical Therapy

  • Physical Therapist
  • Oak Brook, IL
  • NPI 1821085028

  AZ

  Medicare reassignment Care Compare group NPD
• Affinity Physical Therapy LLC

  • Specialist
  • Florence, AZ
  • NPI 1487751772
  Medicare reassignment NPD
• Athletico LTD

  dba Athletico Physical Therapy

  • Clinic/Center
  • Lafayette, IN
  • NPI 1053044867

  Physical Therapist

  NPD
• Accelerated Rehabilitation Centers of Phoenix LLC

  dba Athletico Physical Therapy

  • Clinic/Center
  • Gilbert, AZ
  • NPI 1033676606

  Physical Therapist

  NPD (past)
• Affinity Physical Therapy, LLC

  • Physical Therapist
  • Florence, AZ
  • NPI 1114322807
  NPD (past)

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1366968307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1400",
            "city": "FLORENCE",
            "state": "AZ",
            "postal_code": "851323028",
            "telephone_number": "520-868-1098",
            "fax_number": "520-868-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S MAIN ST",
            "city": "FLORENCE",
            "state": "AZ",
            "postal_code": "851328513",
            "telephone_number": "520-868-0098",
            "fax_number": "520-868-1098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21300 North John Wayne Pakway",
            "address_2": "#107",
            "address_purpose": "LOCATION",
            "city": "Maricopa",
            "state": "AZ",
            "postal_code": "85139",
            "country_code": "US",
            "telephone_number": "520-868-6100",
            "fax_number": "520-868-6106",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1491 N Arizona Blvd Ste 109",
            "address_purpose": "LOCATION",
            "city": "Coolidge",
            "state": "AZ",
            "postal_code": "851283261",
            "country_code": "US",
            "telephone_number": "520-424-2222",
            "fax_number": "520-424-2646",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3930 S Alma School Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852484510",
            "country_code": "US",
            "telephone_number": "480-899-9829",
            "fax_number": "480-729-9829",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3930 S Alma School Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852484510",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACK",
        "first_name": "KYLE",
        "middle_name": "JOSEPH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-22",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "13245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA STATE LICENSE",
            "identifier": "13245",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hayley Benson
• Lindsey Beus, NP-C
• Marcy L Biersack, M.A.
• David Anthony Bilsky, SLPA
• Bio-Medical Applications of Arizona, LLC (Fresenius Medical Care San Tan)
• Marion Blakely
• Danielle Brady
• Adia Brewington, SLPA
• Lindsey Brown, R.N.
• Orville Donald Brown III

• Physical Therapist in Florence, AZ
• Providers in Florence, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.