Stephanie Dawn Kyes, PT, CLT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00007347 Issued in WA

Practice address

3114 NW Randall Way Ste 110
Silverdale, WA 98383-7676

Phone

(360) 329-7052

NPI assigned

Jun 16, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pacific Physical Therapy PLLCGroup PAC ID 9335374313, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Pacific Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Port Orchard, WA
  • NPI 1588098305
  Medicare reassignment Care Compare group NPD
• Pacific Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Silverdale, WA
  • NPI 1104568179
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1659001097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 POTTERY AVE STE 110",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983662501",
            "telephone_number": "360-329-7052",
            "fax_number": "360-329-7053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3114 NW RANDALL WAY STE 110",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837676",
            "telephone_number": "360-329-7052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYES",
        "first_name": "STEPHANIE",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "PT, CLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00007347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beno Milan Kuharich, DO
• Delia Kuizon, MD
• Lisa Kurek
• Kushner Auburn PLLC
• Adam Michael Kusic, DO
• Kyle McKenzie DC Inc
• Thomas Kelly Labombard, LICSW
• Laboratory Corporation of America
• Laboratory Corporation of America
• Laboratory Corporation of America

• Physical Therapist in Silverdale, WA
• Providers in Silverdale, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.