Individual provider Active NPI

Kylie Taylor Nemecek, PT, DPT

  • Physical Therapist
  • Matthews, NC
National Provider Identifier
1396415394
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1335062 Issued in TX
Practice address
710 Park Center Dr
Matthews, NC 28105-5081
Phone
(704) 323-3208
Fax
(980) 358-2591
NPI assigned
Sep 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT7198 ME
Physical Therapist 225100000X CP059861T NC
Physical Therapist 225100000X 6568 NV
Physical Therapist 225100000X PT44154 FL
Physical Therapist 225100000X 070029831 IL
Physical Therapist 225100000X 306832 CA
Physical Therapist 225100000X 1335062 TX Primary
Physical Therapist 225100000X PTL28244 MA

Addresses

Primary practice location

710 Park Center Dr
Matthews, NC 28105-5081

Mailing address

PO Box 601791
Charlotte, NC 28260-1791
Phone (336) 718-4820

Other practice location 1

17W580 Butterfield Rd
Oakbrook Terrace, IL 60181-4028
Phone (630) 889-8125

Other practice location 2

7789 Southwest Fwy
Houston, TX 77074-1829
Phone (713) 456-5221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, MA, ME3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240508003850 WA Practitioner - Physical Therapist in Private Practice 6204277262 Reassigns benefits to 1 organization
I20250423002864 MA Practitioner - Physical Therapist in Private Practice 6204277262 Reassigns benefits to 1 organization
I20250818003294 ME Practitioner - Physical Therapist in Private Practice 6204277262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

111 Ossipee TRL E
Suite 1151
Standish, ME 04084-6421
Phone (207) 642-5325

400 N St
Suite 2
Saco, ME 04072-1867
Phone (207) 282-7121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6568NVMDDentist
306832CAMDPhysical Therapist
PT44154FLMDPhysical Therapist
070029831ILMDPhysical Therapist
PTL28244MAMDPhysical Therapist
1335062TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Saco Bay Orthopaedic and Sports Physical Therapy, Inc Physical Therapist Current Accepting new patients
Saco Bay Orthopaedic and Sports Physical Therapy, Inc. CurrentSince Jul 23, 2025 Accepting new patients
Bay State Physical Therapy of Randolph Inc Physical Therapist CurrentSince Apr 21, 2025 Accepting new patients
Bay State Physical Therapy of Randolph Inc CurrentSince Apr 21, 2025 Accepting new patients
Multicare Health System CurrentSince Apr 8, 2024 Accepting new patients
Saco Bay Orthopaedic and Sports Physical Therapy, Inc. CurrentSince Jul 23, 2025 Accepting new patients
Multicare Health System Current Accepting new patients
Multicare Health System CurrentSince Apr 8, 2024 Accepting new patients
Hannaford Bros. Co., LLC PastSince Aug 3, 2025 Accepting new patients

Locations

1343 Providence Hwy
Norwood, MA 02062
Phone (781) 702-1339

1290 Tremont St
Fl 5
Roxbury Crossing, MA 02120
Phone (617) 267-3773

55 Main St
Bridgton, ME 04009
Phone (207) 647-2144

400 North St
#2
Saco, ME 04072
Phone (207) 282-7121

111 Ossipee Trl E
Ste 1151
Standish, ME 04084
Phone (207) 642-5325

10004 204th Ave E
Ste 3100
Bonney Lake, WA 98391
Phone (253) 863-7510

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

Organizations & group practices 10

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": "1632096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1396415394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601791",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601791",
            "telephone_number": "336-718-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 PARK CENTER DR",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055081",
            "telephone_number": "704-323-3208",
            "fax_number": "980-358-2591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17W580 Butterfield Rd",
            "address_purpose": "LOCATION",
            "city": "Oakbrook Terrace",
            "state": "IL",
            "postal_code": "601814028",
            "country_code": "US",
            "telephone_number": "630-889-8125",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7789 Southwest Fwy",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770741829",
            "country_code": "US",
            "telephone_number": "713-456-5221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEMECEK",
        "first_name": "KYLIE",
        "middle_name": "TAYLOR",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-20",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT7198",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "CP059861T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "6568",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT44154",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070029831",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "306832",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1335062",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "PTL28244",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; 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.