Active NPI
Kevin Brent Pyles, PT
- Physical Therapist
- Mount Airy, NC
National Provider Identifier
1386772275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7421
- Practice address
- 830 Rockford St
Mount Airy, NC 27030-5322 - Phone
- (336) 719-7129
- NPI assigned
- Mar 1, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7421 | NC | Primary |
Addresses
Primary practice location
830 Rockford St
Mount Airy, NC 27030-5322
Mailing address
1160 Chester Rd
Winston Salem, NC 27104-1310
Phone (336) 201-7166
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7421 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salem Physical Therapy and Sports Rehab | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rehabilitation Hospital
- Winston Salem, NC
- NPI 1730555202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386772275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1160 CHESTER RD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271041310",
"telephone_number": "336-201-7166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 ROCKFORD ST",
"city": "MOUNT AIRY",
"state": "NC",
"postal_code": "270305322",
"telephone_number": "336-719-7129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PYLES",
"first_name": "KEVIN",
"middle_name": "BRENT",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "7421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Airy, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.