Individual provider Active NPI

Kyle Edward Stover, DPT

  • Physical Therapist
  • Scarsdale, NY
National Provider Identifier
1598092835
Registry record updated Nov 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
030413 Issued in NY
Practice address
2 Overhill Rd
Scarsdale, NY 10583-5323
Phone
(914) 723-6987
Fax
(914) 723-7546
NPI assigned
Nov 6, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2009

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 030413 NY Primary

Addresses

Primary practice location

2 Overhill Rd
Scarsdale, NY 10583-5323

Mailing address

2 Overhill Rd
Scarsdale, NY 10583-5323
Phone (914) 723-6987

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130211000019 NY Practitioner - Physical Therapist in Private Practice 1254585730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cor Sports Physical Therapy LLPGroup PAC ID 0941454052, 3 clinicians

Practice addresses (Care Compare)

130 Business Park Dr
Armonk, NY 10504-1727
Phone (914) 273-3413

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
030413NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Cor Sports Physical Therapy, LLP Physical Therapist CurrentSince Aug 6, 2018 Accepting new patients

Locations

130 Business Park Dr
Armonk, NY 10504
Phone (914) 273-3413

130 Business Park Dr
Ste 5
Armonk, NY 10504
Phone (914) 273-3413

Organizations & group practices 1

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": "1257465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257465600000",
    "number": "1598092835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 OVERHILL RD",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105835323",
            "telephone_number": "914-723-6987",
            "fax_number": "914-723-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 OVERHILL RD",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105835323",
            "telephone_number": "914-723-6987",
            "fax_number": "914-723-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOVER",
        "first_name": "KYLE",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-06",
        "last_updated": "2009-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "030413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarsdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2009; 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.