Kyle T Fennemore, DPT, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

J1-0002306 Issued in DE

Practice address

100 Becks Woods Dr
Suite 101
Bear, DE 19701-3835

Phone

(302) 392-3400

NPI assigned

Jan 8, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ati Holdings, LLCGroup PAC ID 9537112719, 440 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.05 of 100Reported as group

Quality

89.12

Improvement activities

40

Cost

73.46

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Ati Holdings, LLC

  • Physical Therapy Clinic/Center
  • Rising Sun, MD
  • NPI 1396781050

  DE, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Ati Holdings, LLC

  • Durable Medical Equipment & Medical Supplies
  • King of Prussia, PA
  • NPI 1750194460

  Physical Therapist

  NPD
• Ati Holdings, LLC

  • Durable Medical Equipment & Medical Supplies
  • Forest Hill, MD
  • NPI 1013109099
  NPD (past)

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339545600000",
    "number": "1437334547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BECKS WOODS DR",
            "address_2": "SUITE 101",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197013835",
            "telephone_number": "302-392-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENNEMORE",
        "first_name": "KYLE",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-08",
        "last_updated": "2012-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "JT0000684",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0002306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John P Feeney, DC
• Sean Patrick Feeney, DC
• Connor Feinour
• Lori Beth Feldman, PHARM D
• Gloryann Feliciano
• Chuck Ferguson, L.M.T.
• Shannon Lee Ferrari, PMHNP-BC
• Roy Ferrell
• First State Physicians, Inc.
• First State Physicians, LLC

• Physical Therapist in Bear, DE
• Providers in Bear, DE by specialty
• Physical Therapist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; 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.