Individual provider Active NPI

Kyle Lynch, PT, DPT

  • Physical Therapist
  • Chula Vista, CA
National Provider Identifier
1477129310
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
301737 Issued in CA
Practice address
251 Landis Ave
Chula Vista, CA 91910-2628
Phone
(619) 515-2500
NPI assigned
Jun 1, 2021
Last updated
Apr 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA02008800 NJ
Physical Therapist 225100000X 301737 CA Primary

Addresses

Primary practice location

251 Landis Ave
Chula Vista, CA 91910-2628

Mailing address

823 Gateway Center Way
San Diego, CA 92102-4541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, CA, MA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210713003004 NJ Practitioner - Physical Therapist in Private Practice 1557763521 Reassigns benefits to 2 organizations
I20220323001697 CA Practitioner - Physical Therapist in Private Practice 1557763521 Reassigns benefits to 2 organizations
I20250521003089 MA Practitioner - Physical Therapist in Private Practice 1557763521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Rutgers New Jersey Medical School, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

141 Longwater Dr
Suite 109
Norwell, MA 02061-1620
Phone (339) 788-5207

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
301737CAMDPhysical Therapist
40QA02008800NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bay State Physical Therapy of Randolph Inc Physical Therapist CurrentSince May 15, 2025 Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince Mar 28, 2023 Accepting new patients
Family Health Centers of San Diego, Inc. CurrentSince Mar 28, 2023 Accepting new patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Mar 7, 2022 Accepting new patients
Bay State Physical Therapy of Randolph Inc Physical Therapist CurrentSince May 15, 2025 Accepting new patients
Sportscare of America, PC Physical Therapist CurrentSince Jun 3, 2021 Accepting new patients
United Sports Care & Physical Therapy Physical Therapist CurrentSince Jun 3, 2021 Accepting new patients

Locations

251 Landis Ave
Chula Vista, CA 91910
Phone (619) 515-2500

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 409-4167

1000 Euclid Ave
National City, CA 91950
Phone (619) 267-8100

823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323

703 Granite St
Ste 3
Braintree, MA 02184

1 Pearl St
Ste 1700
Brockton, MA 02301
Phone (508) 427-0525

141 Longwater Dr
Ste 109
Norwell, MA 02061
Phone (339) 788-5207

47 S Washington Ave
Bergenfield, NJ 07621
Phone (201) 384-2525

1161 Burnt Tavern Rd
Brick, NJ 08724
Phone (732) 458-1255

317 Brick Blvd
Ste 120
Brick, NJ 08723
Phone (732) 255-9500

197 Ridgedale Ave
Cedar Knolls, NJ 07927
Phone (973) 292-0700

11 Eagle Rock Ave
Ste 201
East Hanover, NJ 07936
Phone 9738879000351

140 N Route 17
Ste 272
Paramus, NJ 07652
Phone (201) 261-4343

80 Oak Hill Rd
Red Bank, NJ 07701
Phone (732) 741-2313

530 Lakehurst Rd
Ste 202204
Toms River, NJ 08755
Phone (732) 349-1201

Organizations & group practices 7

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": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1477129310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 GATEWAY CENTER WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921024541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 LANDIS AVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102628",
            "telephone_number": "619-515-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-01",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02008800",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "301737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.