Kyra Jane Warren Cavallo, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT40230 Issued in FL

Practice address

12040 S Jog Rd Ste 8
Boynton Beach, FL 33437-4164

Phone

(561) 733-5083

NPI assigned

May 26, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florida Movement Therapy Center-Boynton Beach IncGroup PAC ID 1759464837, 17 clinicians

Florida Movement Therapy Center-Boca Raton, LLCGroup PAC ID 6507014768, 13 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

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.

• Florida Movement Therapy Center-Boca Raton, LLC

  • Geriatric Physical Therapist
  • Boca Raton, FL
  • NPI 1407118268

  FL, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Florida Movement Therapy Center-Boynton Beach Inc

  • Physical Therapist
  • Boynton Beach, FL
  • NPI 1013105196

  FL, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Neuroscience Consultants LLP

  • Specialist
  • Medley, FL
  • NPI 1346217452
  NPD (past)

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1558054593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12040 S JOG RD STE 8",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334374164",
            "telephone_number": "561-733-5083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12040 S JOG RD STE 8",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334374164",
            "telephone_number": "561-733-5083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVALLO",
        "first_name": "KYRA",
        "middle_name": "JANE WARREN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-26",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT40230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorena Castillo, PTA
• Mildred Tatiana Castillo, P.T.
• Juan Luis Castro Cordoba, MD
• Andrea Catano, DPT
• Bryce Cattoor, DO, MS
• Claudia Cedeno
• Guerry Cenord, MD
• Sidney Johanna Centeno, LIFESTYLE COACH
• Center for Back Pain Management Inc
• Center for Balance, Dizziness and Physical Therapy LLC

• Physical Therapist in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.