Individual provider Active NPI

Kyle Michael Paynter

  • Orthopedic Physical Therapist
  • Aiken, SC
National Provider Identifier
1629808746
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Practice address
943 Pine Log Rd
Aiken, SC 29803-7330
Phone
(803) 649-9797
NPI assigned
Aug 5, 2024
Last updated
Oct 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 13055 SC
Physical Therapist 225100000X PTL28133 MA
Sports Physical Therapist 2251S0007X NU
Orthopedic Physical Therapist 2251X0800X NU Primary

Addresses

Primary practice location

943 Pine Log Rd
Aiken, SC 29803-7330

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Phone (630) 296-2222

Other practice location 1

470 Shoemaker Ln
Agawam, MA 01001-3620
Phone (413) 789-0752

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT, SC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20250604002074 MA Practitioner - Physical Therapist in Private Practice 0648789214 Reassigns benefits to 1 organization
I20250630002429 CT Practitioner - Physical Therapist in Private Practice 0648789214 Reassigns benefits to 1 organization
I20251212001353 SC Practitioner - Physical Therapist in Private Practice 0648789214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
South Aiken Physical Therapy LLCGroup PAC ID 3678745320, 5 clinicians

Practice addresses (Care Compare)

943 Pine Log Rd
Aiken, SC 29803-7330
Phone (803) 649-9797

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14569CTMDClinical Social Worker
PTL28133MAMDPhysical Therapist
13055SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
South Aiken Physical Therapy, LLC Physical Therapist CurrentSince Nov 10, 2025 Accepting new patients
Resilience Physical Therapy and Wellness, LLC Physical Therapist CurrentSince May 1, 2025 Accepting new patients
Connecticut CVS Pharmacy LLC PastSince May 1, 2025 Accepting new patients

Locations

152 Mountain Rd
Suffield, CT 06078
Phone (413) 789-0752

470 Shoemaker Ln
Agawam, MA 01001
Phone (413) 789-0752

943 Pine Log Rd
Aiken, SC 29803
Phone (803) 648-2366

Organizations & group practices 3

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": "1722816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1629808746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211",
            "telephone_number": "630-296-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "943 PINE LOG RD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298037330",
            "telephone_number": "803-649-9797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "470 Shoemaker Ln",
            "address_purpose": "LOCATION",
            "city": "Agawam",
            "state": "MA",
            "postal_code": "010013620",
            "country_code": "US",
            "telephone_number": "413-789-0752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAYNTER",
        "first_name": "KYLE",
        "middle_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-05",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "13055",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "PTL28133",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; 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.