Individual provider Active NPI

Kayla Contardi, DPT

  • Physical Therapist
  • Ludington, MI
National Provider Identifier
1669069506
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501019839 Issued in MI
Practice address
3837 W US Highway 10
Ludington, MI 49431-9601
Phone
(231) 674-5815
Fax
(231) 683-4705
NPI assigned
Dec 27, 2020
Last updated
Aug 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Physical Therapist 225100000X PT03580 RI
Physical Therapist 225100000X 5501019839 MI Primary

Addresses

Primary practice location

3837 W US Highway 10
Ludington, MI 49431-9601

Mailing address

PO Box 412031
Boston, MA 02241-2031
Phone (914) 294-4050

Other practice location 1

625 SW Ramsey Ave Ste B
Grants Pass, OR 97527-5808
Phone (541) 479-6979

Other practice location 2

2 Charles St # C2
Providence, RI 02904-2269
Phone (401) 276-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, RI, MI3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210303001386 OR Practitioner - Physical Therapist in Private Practice 3476969239 Reassigns benefits to 1 organization
I20221205001283 RI Practitioner - Physical Therapist in Private Practice 3476969239 Reassigns benefits to 1 organization
I20240903003090 MI Practitioner - Physical Therapist in Private Practice 3476969239 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab Michigan LLCGroup PAC ID 6901165893, 156 clinicians

Practice addresses (Care Compare)

3837 W US Hwy 10
Ludington, MI 49431-9601
Phone (231) 674-5815

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT03580RIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Michigan, LLC Physical Therapist CurrentSince Aug 26, 2024 Accepting new patients
Elite Physical Therapy, LLC Physical Therapist CurrentSince Nov 28, 2022 Accepting new patients
Benchmark Physical Therapy of Or, LLC Physical Therapist CurrentSince Mar 1, 2021 Accepting new patients
Benchmark Physical Therapy of Or, LLC Physical Therapist CurrentSince Mar 1, 2021 Accepting new patients
Benchmark Physical Therapy of Oregon LLC Physical Therapist Current Accepting new patients
Ivyrehab Northern PT, LLC Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

404 Perry Ave
Ste B
Big Rapids, MI 49307
Phone (231) 753-1236

3699 S Baldwin Rd
Lake Orion, MI 48359
Phone (248) 997-5990

3837 W US Highway 10
Ludington, MI 49431
Phone (231) 674-5815

135 S Milford Rd
Milford, MI 48381
Phone (248) 685-7272

379 W Western Ave
Ste 101
Muskegon, MI 49440
Phone (231) 845-1906

1764 S Ortonville Rd
Ortonville, MI 48462
Phone (248) 793-5730

1764 S Ortonville Rd
Ste 400
Ortonville, MI 48462
Phone (248) 793-5730

204 W Upton Ave
Reed City, MI 49677
Phone (231) 465-4289

6575 Belding Rd NE
Ste B
Rockford, MI 49341
Phone (616) 317-8048

625 SW Ramsey Ave
Ste B
Grants Pass, OR 97527
Phone (541) 476-1919

3512 Excel Dr
Ste 105
Medford, OR 97504
Phone (541) 245-0419

535 Centerville Rd
Ste 101
Warwick, RI 02886
Phone (401) 737-4581

Organizations & group practices 6

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": "1609027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1669069506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412031",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022412031",
            "telephone_number": "914-294-4050",
            "fax_number": "631-760-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3837 W US HIGHWAY 10",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494319601",
            "telephone_number": "231-674-5815",
            "fax_number": "231-683-4705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 SW Ramsey Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Grants Pass",
            "state": "OR",
            "postal_code": "975275808",
            "country_code": "US",
            "telephone_number": "541-479-6979",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Charles St # C2",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029042269",
            "country_code": "US",
            "telephone_number": "401-276-0800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONTARDI",
        "first_name": "KAYLA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-27",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT03580",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501019839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ludington, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.