Individual provider Active NPI

Kevin C Kleisler, DPT

  • Physical Therapist
  • Tempe, AZ
National Provider Identifier
1386173110
Registry record updated Jun 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13061 Issued in AZ
Practice address
325 W Elliot Rd Ste 104
Tempe, AZ 85284-1373
Phone
(480) 756-8617
Fax
(480) 820-9909
NPI assigned
Jun 6, 2017
Last updated
Jun 6, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2017

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 13061 AZ Primary

Addresses

Primary practice location

325 W Elliot Rd Ste 104
Tempe, AZ 85284-1373

Mailing address

15410 S Mountain Pkwy Ste 112
Phoenix, AZ 85044-6691
Phone (480) 706-1161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170627000829 AZ Practitioner - Physical Therapist in Private Practice 1456620988 Reassigns benefits to 3 organizations
I20250509000038 TX Practitioner - Physical Therapist in Private Practice 1456620988 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13061AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Apr 23, 2025 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Apr 23, 2025 Accepting new patients
Kinect Physical Therapy, PLLC Physical Therapist CurrentSince Apr 1, 2023 Accepting new patients
Foothills Sports Medicine & Rehabilitation - Tempe, LLC Physical Therapist CurrentSince Jun 5, 2017 Accepting new patients
Recovia LLC Past Accepting new patients

Locations

3930 S Alma School Rd
Ste 3
Chandler, AZ 85248
Phone (480) 899-9829

950 E Riggs Rd
Ste 1
Chandler, AZ 85249
Phone (480) 802-8730

21300 N John Wayne Pkwy
Ste 107
Maricopa, AZ 85139
Phone (480) 899-9829

1118 N Recker Rd
Ste 109
Mesa, AZ 85205
Phone (480) 833-2778

15410 S Mountain Pkwy
Phoenix, AZ 85044
Phone (480) 329-8087

15410 S Mountain Pkwy
Ste 112
Phoenix, AZ 85044
Phone (480) 609-0822

4050 E Cotton Center Blvd
Ste 18
Phoenix, AZ 85040
Phone (480) 653-8200

4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187

10121 E Bell Rd
Ste 140
Scottsdale, AZ 85260
Phone (480) 419-3500

325 W Elliot Rd
Ste 104
Tempe, AZ 85284
Phone (480) 756-8617

Organizations & group practices 6

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": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496707200000",
    "number": "1386173110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15410 S MOUNTAIN PKWY STE 112",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850446691",
            "telephone_number": "480-706-1161",
            "fax_number": "480-706-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 W ELLIOT RD STE 104",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852841373",
            "telephone_number": "480-756-8617",
            "fax_number": "480-820-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEISLER",
        "first_name": "KEVIN",
        "middle_name": "C",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-06",
        "last_updated": "2017-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "13061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.