Active NPI
Kyle Condon, DPT
- Physical Therapist
- Media, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT032473
- Practice address
- 1118 W Baltimore Pike
Media, PA 19063-6104 - Phone
- (800) 321-9999
- NPI assigned
- Jul 8, 2024
- Last updated
- Aug 21, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | ||
| Physical Therapist | 225100000X | PT032473 | PA | Primary |
Addresses
Primary practice location
1118 W Baltimore Pike
Media, PA 19063-6104
Mailing address
833 Chestnut St Ste 520
Philadelphia, PA 19107-4430
Phone (800) 321-9999
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, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1118 W Baltimore Pike
Suite 302
Media, PA 19063-6107
Phone (610) 744-2600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT032473 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reconstructive Orthopaedic Associates II LLC | Physical Therapist | Current | Accepting new patients |
| Reconstructive Orthopaedic Associates II LLC | Current | Accepting new patients |
Locations
1118 W Baltimore Pike
Ste 302
Media, PA 19063
Phone (610) 480-6040
833 Chestnut St
Ste 520
Philadelphia, PA 19107
Phone (267) 592-6191
925 Chestnut St
Fl 5
Philadelphia, PA 19107
Phone (267) 339-3738
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rothman Orthopaedics Institute
- Orthopaedic Surgery Physician
- Philadelphia, PA
- NPI 1861433278
-
dba Rothman Orthopaedics Institute
- Prosthetic/Orthotic Supplier
- Philadelphia, PA
- NPI 1497571830
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724198400000",
"number": "1689410649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "833 CHESTNUT ST STE 520",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074430",
"telephone_number": "800-321-9999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1118 W BALTIMORE PIKE",
"city": "MEDIA",
"state": "PA",
"postal_code": "190636104",
"telephone_number": "800-321-9999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONDON",
"first_name": "KYLE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-08",
"last_updated": "2024-08-21",
"certification_date": "2024-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT032473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Media, PA
- Communities of Don Guanella and Divine Providence
- Communities of Don Guanella and Divine Providence
- Communities of Don Guanella and Divine Providence
- Comprehensive Psychological Consulting Services LLC
- Cynthia M Conan, MSW/LCSW
- Amanda Conley
- Meghan Siobhan Conley, MSOT/L
- Nancy Conley, PA-C
- Connecting Potential LLC
- Stephen D Conrad, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.