Individual provider Active NPI

Kyle John Ioos, DPT

  • Physical Therapist
  • Carmel, NY
National Provider Identifier
1417619578
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
047529-01 Issued in NY
Practice address
1611 Route 6
Carmel, NY 10512-1933
Phone
(845) 225-2000
Fax
(845) 225-5600
NPI assigned
Oct 6, 2021
Last updated
Oct 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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 047529-01 NY Primary

Addresses

Primary practice location

1611 Route 6
Carmel, NY 10512-1933

Mailing address

27 Old English Way
Wappingers Falls, NY 12590-1209
Phone (845) 502-0561

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address contact@empireperformancePT.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211108002769 NY Practitioner - Physical Therapist in Private Practice 9739578089 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empire Performance PT LLCGroup PAC ID 8628383056, 3 clinicians
Bertolozzi Physical Therapy Services PCGroup PAC ID 6103973110, 5 clinicians

Practice addresses (Care Compare)

1611 Route 6
Carmel, NY 10512-1933
Phone (845) 225-2000

45 Eastdale Ave N
Suite 102
Poughkeepsie, NY 12603-1796
Phone (845) 495-3070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
047529NYMDPharmacist
047529-01NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bertolozzi Physical Therapy Services PC CurrentSince Dec 29, 2025 Accepting new patients
Empire Performance PT, LLC Physical Therapist CurrentSince Oct 1, 2021 Accepting new patients

Locations

1611 Route 6
Carmel, NY 10512
Phone (845) 225-2000

45 Eastdale Ave N
Ste 102
Poughkeepsie, NY 12603
Phone (845) 495-3070

985 Route 376
Ste 21
Wappingers Falls, NY 12590
Phone (845) 225-2000

Organizations & group practices 2

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": "1633478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1417619578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 OLD ENGLISH WAY",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125901209",
            "telephone_number": "845-502-0561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 ROUTE 6",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105121933",
            "telephone_number": "845-225-2000",
            "fax_number": "845-225-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IOOS",
        "first_name": "KYLE",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "047529-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "contact@empireperformancePT.com",
            "affiliation": "N",
            "endpointDescription": "office manager",
            "address_1": "1611 Route 6",
            "city": "Carmel",
            "state": "NY",
            "country_code": "US",
            "postal_code": "105121933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carmel, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.