Active NPI
Kayla Epperson
- Physical Therapist
- Geneva, IL
National Provider Identifier
1609395979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070023086
- Practice address
- 321 Stevens St Ste Q
Geneva, IL 60134-1318 - Phone
- (630) 525-1129
- NPI assigned
- Sep 18, 2017
- Last updated
- May 6, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 070023086 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kayla Epperson LLC | Current | 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.
-
dba The Athlete Connection
- Physical Therapy Clinic/Center
- St Charles, IL
- NPI 1316616964
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.