Individual provider Active NPI

Kayla Epperson

  • Physical Therapist
  • Geneva, IL
National Provider Identifier
1609395979
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070023086 Issued in IL
Practice address
321 Stevens St Ste Q
Geneva, IL 60134-1318
Phone
(630) 525-1129
NPI assigned
Sep 18, 2017
Last updated
May 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2020

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 070023086 IL Primary

Addresses

Primary practice location

321 Stevens St Ste Q
Geneva, IL 60134-1318

Mailing address

1927 Western Ave
Geneva, IL 60134-3167
Phone (630) 525-1129

Other practice location 1

38 S Main St Ste A&b
Sugar Grove, IL 60554-5031
Phone (630) 466-5866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070023086ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kayla Epperson LLC CurrentSince Sep 12, 2021 Accepting new patients

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, 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": "1505692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1609395979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1927 WESTERN AVE",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601343167",
            "telephone_number": "630-525-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 STEVENS ST STE Q",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601341318",
            "telephone_number": "630-525-1129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38 S Main St Ste A&b",
            "address_purpose": "LOCATION",
            "city": "Sugar Grove",
            "state": "IL",
            "postal_code": "605545031",
            "country_code": "US",
            "telephone_number": "630-466-5866",
            "fax_number": "630-466-5869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EPPERSON",
        "first_name": "KAYLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-18",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070023086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.