Brenda Kyttle, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT009783L Issued in PA

Practice address

1086 Route 315
Pro Rehabilitation Services
Plains, PA 18702

Phone

(570) 823-7761

Fax

(570) 822-8033

NPI assigned

Nov 27, 2006

Last updated

Sep 29, 2023By the provider in NPPES

Sex

Female

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 7

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alycam IncGroup PAC ID 9032568886, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Alycam Inc

  dba Pro Rehabilitation Services

  • Physical Therapist
  • Hanover, PA
  • NPI 1861578460
  Medicare reassignment Care Compare group NPD
• Derek Enterprises LLC

  dba Pro Rehabilitiation Services

  • Physical Therapist
  • W Hazleton, PA
  • NPI 1659457158
  Medicare reassignment NPD
• Dylan RC Enterprises Inc

  dba PRO Rehabilitation Services

  • Physical Therapist
  • New Milford, PA
  • NPI 1679165559
  Medicare reassignment NPD
• Steffie Enterprises, Inc

  dba Pro Rehabilitation Services

  • Physical Therapist
  • Plains, PA
  • NPI 1184700684
  Medicare reassignment NPD

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1407922958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1086 ROUTE 315",
            "address_2": "PRO REHABILITATION SERVICES",
            "city": "PLAINS",
            "state": "PA",
            "postal_code": "18702",
            "telephone_number": "570-823-7761",
            "fax_number": "570-822-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1086 ROUTE 315",
            "address_2": "PRO REHABILITATION SERVICES",
            "city": "PLAINS",
            "state": "PA",
            "postal_code": "18702",
            "telephone_number": "570-823-7761",
            "fax_number": "570-822-8033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYTTLE",
        "first_name": "BRENDA",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT009783L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1508796",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA ASSURANCE",
            "identifier": "393525",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY",
            "identifier": "818043",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY",
            "identifier": "815881",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY",
            "identifier": "818044",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA ASSURANCE",
            "identifier": "388442",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEATH AMERICA ASSURANCE",
            "identifier": "393526",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Kishel
• Wayne T Kogoy, PT
• Carol Lynn Kopiak, PHARM. D
• Ralph Joseph Kovaleski Jr., OTRL
• Lisa Kozden, MOT, OTR/L, CHT
• Elaine M Lacey, PA C
• Karisa Lam
• Kyle Landis, PA
• Richard Neal Langdon Sr., D.C.
• Jonathan Lastovica

• Physical Therapist in Plains, PA
• Providers in Plains, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.