Active NPI
Kyla L Dunlavey, PT, MPT, OCS
- Physical Therapist
- Boalsburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT011161L
- 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
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 | 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Core Physio LLC | Physical Therapist | Current | Accepting new patients |
| Atlas Therapy Inc. | Physical Therapist | Current | 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.
-
- Physical Therapist
- State College, PA
- NPI 1962715359
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.