Individual provider Active NPI

Kyla L Dunlavey, PT, MPT, OCS

  • Physical Therapist
  • Boalsburg, PA
National Provider Identifier
1619084795
Registry record updated Nov 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT011161L Issued in PA
Practice address
152 Faith Cir
Boalsburg, PA 16827-1598
Phone
(814) 314-8880
NPI assigned
Aug 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 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 PT011161L PA Primary

Addresses

Primary practice location

152 Faith Cir
Boalsburg, PA 16827-1598

Mailing address

152 Faith Cir
Boalsburg, PA 16827-1598
Phone (703) 801-3432

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180312000059 PA Practitioner - Physical Therapist in Private Practice 7517228471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

320 Rolling Ridge Dr
Suite 203
State College, PA 16801-7641
Phone (814) 314-8880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Core Physio LLC Physical Therapist CurrentSince Nov 24, 2020 Accepting new patients
Atlas Therapy Inc. Physical Therapist CurrentSince Feb 2, 2018 Accepting new patients

Locations

613 Valley View Blvd
#200
Altoona, PA 16602
Phone (814) 308-8482

3075 Enterprise Dr
Ste 200
State College, PA 16801
Phone (814) 308-8482

320 Rolling Ridge Dr
Ste 203
State College, PA 16801
Phone (814) 314-8880

474 Windmere Dr
Ste 100
State College, PA 16801
Phone (814) 308-8482

Organizations & group practices 2

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604707200000",
    "number": "1619084795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 FAITH CIR",
            "city": "BOALSBURG",
            "state": "PA",
            "postal_code": "168271598",
            "telephone_number": "703-801-3432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 FAITH CIR",
            "city": "BOALSBURG",
            "state": "PA",
            "postal_code": "168271598",
            "telephone_number": "814-314-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNLAVEY",
        "first_name": "KYLA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "PT, MPT, OCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2020-11-07",
        "certification_date": "2020-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT011161L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boalsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2020; 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.