Individual provider Active NPI

Kyla Formey, PT, DPT

  • Physical Therapist
  • Newport News, VA
National Provider Identifier
1588430243
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305216194 Issued in VA
Practice address
201 Field Stone LN Apt 102
Newport News, VA 23602-7848
Phone
(718) 431-3296
NPI assigned
Dec 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X
Physical Therapist 225100000X 2305216194 VA Primary

Addresses

Primary practice location

201 Field Stone LN Apt 102
Newport News, VA 23602-7848

Mailing address

201 Field Stone LN Apt 102
Newport News, VA 23602-7848
Phone (718) 431-3296

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240212000013 VA Practitioner - Physical Therapist in Private Practice 4688017262 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Therapy Solutions, LLC Physical Therapist CurrentSince Jul 14, 2025 Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist CurrentSince Dec 19, 2023 Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist CurrentSince Dec 19, 2023 Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist Current Accepting new patients
Sentara Therapy Solutions, LLC Physical Therapist CurrentSince Jul 14, 2025 Accepting new patients

Locations

350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919

10128 W Broad St
Bldg Iii
Glen Allen, VA 23060
Phone (804) 217-9210

751 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 596-1900

3509 Chestnut Ave
Newport News, VA 23607
Phone (757) 271-4090

984B Laskin Rd
Virginia Beach, VA 23451
Phone (757) 395-6900

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1588430243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 FIELD STONE LN APT 102",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236027848",
            "telephone_number": "718-431-3296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 FIELD STONE LN APT 102",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236027848",
            "telephone_number": "718-431-3296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORMEY",
        "first_name": "KYLA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305216194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.