Kylie Aiken, PT, DPT
Individual provider Active NPI Physical Therapist · Prairieville, LA
NPI 1558040071 · NPPES record last updated Jul 12, 2023
Key facts
- NPI
- 1558040071
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT016540 (GA)
- Practice address
- 16172 Airline Hwy Ste B
Prairieville, LA 70769-4212 - Phone
- (225) 255-4020
- NPI assigned
- Jul 12, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
928 Copperfield Blvd NE
Concord, NC 28025-2433
Phone (704) 885-1447
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in LA, NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230814001119 | LA | Practitioner - Physical Therapist in Private Practice | 2466814116 | |
| I20240328001845 | NC | Practitioner - Physical Therapist in Private Practice | 2466814116 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT016540 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Finnerty Beck LLC | Physical Therapist | Current |
Accepting new patients |
Locations
928 Copperfield Blvd NE
Concord, NC 28025
Phone (704) 786-7676
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT016540 | GA | Yes |
Addresses
Primary practice location
16172 Airline Hwy Ste B
Prairieville, LA 70769-4212
Mailing address
325 Huntwick CT
Johns Creek, GA 30005-7230
Phone (678) 772-6204
Other providers in Prairieville, LA
- Access Health Care Services
- Accunerve LLC
- Melissa Annette Adams
- Advantage Therapy Services, L.L.C.
- Donna Paninski Aguillard
- Morton Joseph Aime
- Kathryn Alexander
- Terrance Alexander
- Wayne Alexis Jr.
- Allergy Associates, PA
All providers in Prairieville, LA · Physical Therapist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.