Active NPI
Kyle A Pospischil, DPT
- Physical Therapist
- Moline, IL
National Provider Identifier
1487959870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070-018437
- Practice address
- 850 43Rd Ave
Ste 200 and 300
Moline, IL 61265-8401 - Phone
- (309) 743-0300
- Fax
- (309) 743-0318
- NPI assigned
- Jan 18, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 004705 | IA | |
| Physical Therapist | 225100000X | 070-018437 | IL | Primary |
Addresses
Primary practice location
850 43Rd Ave
Ste 200 and 300
Moline, IL 61265-8401
Mailing address
850 43Rd Ave Ste 100
Moline, IL 61265-8401
Phone (309) 743-2070
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004705 | Other | IA | IOWA PT LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
202 10TH St SE
Cedar Rapids, IA 52403-2414
Phone (319) 247-3010
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.5 of 100
- Quality
- 68.67
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.34
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Clinic of Iowa, PC | Current | Accepting new patients | |
| Physicians' Clinic of Iowa, PC | Current | Accepting new patients | |
| Ora Orthopedics, PC | Past | Accepting new patients |
Locations
202 10th St SE
Cedar Rapids, IA 52403
Phone (319) 247-3010
202 10th St SE
Ste 165
Cedar Rapids, IA 52403
Phone (319) 247-3049
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JIJCBD
Organizations & group practices 4
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.
-
- Surgery Physician
- Cedar Rapids, IA
- NPI 1821075599
-
- Specialty Pharmacy
- Cedar Rapids, IA
- NPI 1295064111
-
- Orthopaedic Surgery Physician
- Durant, IA
- NPI 1639159700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334188800000",
"number": "1487959870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 43RD AVE STE 100",
"city": "MOLINE",
"state": "IL",
"postal_code": "612658401",
"telephone_number": "309-743-2070",
"fax_number": "309-743-2073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 43RD AVE",
"address_2": "STE 200 AND 300",
"city": "MOLINE",
"state": "IL",
"postal_code": "612658401",
"telephone_number": "309-743-0300",
"fax_number": "309-743-0318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POSPISCHIL",
"first_name": "KYLE",
"middle_name": "A",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-01-18",
"last_updated": "2012-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "004705",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070-018437",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IOWA PT LICENSE",
"identifier": "004705",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moline, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.