Kyle Yeager, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL0017362 Issued in CO

Practice address

814 S Perry St Ste D
Castle Rock, CO 80104-1942

Phone

(303) 814-2865

NPI assigned

Aug 13, 2020

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 CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Headwaters Physical Therapy LLCGroup PAC ID 1951899947, 2 clinicians

Conifer Physical Therapy LLCGroup PAC ID 3779959747, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network

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.

• Headwaters Physical Therapy LLC

  • Physical Therapist
  • Bailey, CO
  • NPI 1669351805
  Medicare reassignment Care Compare group NPD Authorized official
• Conifer Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Conifer, CO
  • NPI 1659009744

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Cora Health Services Inc

  • Rehabilitation Clinic/Center
  • Largo, FL
  • NPI 1568495752
  NPD (past)
• Cora Health Services, Inc

  • Rehabilitation Clinic/Center
  • Winter Garden, FL
  • NPI 1104786805
  NPD (past)

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1477164416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8925 LADY MADONNA CIR UNIT 305",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292889",
            "telephone_number": "317-407-0862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 S PERRY ST STE D",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041942",
            "telephone_number": "303-814-2865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2130 E Bay Dr",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337712323",
            "country_code": "US",
            "telephone_number": "727-587-0582",
            "fax_number": "727-587-0583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YEAGER",
        "first_name": "KYLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-13",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT36176",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL0017362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ming Wu, M.D., PH.D.
• Elizabeth Wynn, LPC
• Tiffany Yacuta
• Steven Kiyoshi Yamazaki, M.D.
• Damon Yarde, DC
• Jenna Yoches Rosario
• Matthew Orval Young, D.D.S.
• Tina Slider Young, M.S., CCC-SLP
• Jennifer Michele Youngs, PA-C
• Angelica Yslas

• Physical Therapist in Castle Rock, CO
• Providers in Castle Rock, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; 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.