Individual provider Active NPI

Kyle Sikes, DPT

  • Physical Therapist
  • Springvale, ME
National Provider Identifier
1558078410
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT6043 Issued in ME
Practice address
488 Main St
Springvale, ME 04083-1418
Phone
(207) 490-4920
NPI assigned
Nov 1, 2022
Last updated
Nov 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT6043 ME Primary

Addresses

Primary practice location

488 Main St
Springvale, ME 04083-1418

Mailing address

2 Oak Hill Rd
Shapleigh, ME 04076-3350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, NH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221201003149 ME Practitioner - Physical Therapist in Private Practice 1153799713 Reassigns benefits to 2 organizations
I20230208001002 NH Practitioner - Physical Therapist in Private Practice 1153799713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Massabesic Health Resources PAGroup PAC ID 5395712137, 12 clinicians

Practice addresses (Care Compare)

392 Main St
Waterboro, ME 04087-3057
Phone (207) 247-3216

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Massabesic Health Resources PA Physical Therapist CurrentSince Nov 16, 2022 Accepting new patients
Saco Bay Orthopaedic and Sports Physical Therapy, Inc Physical Therapist CurrentSince Dec 12, 2022 Accepting new patients
Saco Bay Orthopaedic and Sports Physical Therapy, Inc. CurrentSince Dec 1, 2022 Accepting new patients
Saco Bay Orthopaedic and Sports Physical Therapy, Inc. Physical Therapist Current Accepting new patients
Saco Bay Orthopaedic and Sports Physical Therapy, Inc CurrentSince Dec 1, 2022 Accepting new patients

Locations

400 North St
#2
Saco, ME 04072
Phone (207) 282-7121

392 Main St
Waterboro, ME 04087
Phone (207) 347-3216

869 Main St
Westbrook, ME 04092
Phone (207) 809-9518

10 Commerce Park North
Ste 1B
Bedford, NH 03110
Phone (603) 644-8334

75 Newport Rd
Unit 4
New London, NH 03257
Phone (603) 526-2781

Organizations & group practices 5

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": "1667260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1558078410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 OAK HILL RD",
            "city": "SHAPLEIGH",
            "state": "ME",
            "postal_code": "040763350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 MAIN ST",
            "city": "SPRINGVALE",
            "state": "ME",
            "postal_code": "040831418",
            "telephone_number": "207-490-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIKES",
        "first_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-01",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT6043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springvale, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.