Kylee Cowles, PTA

Key facts

NPI

1699475889

Entity type

Individual (NPI type 1)

Primary specialty

Physical Therapy Assistant 225200000X

License

114260 (IA)

Practice address

13731 Hickman Rd
Urbandale, IA 50323-2193

Phone

(844) 334-3818

NPI assigned

Mar 6, 2023

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 6, 2023.

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1699475889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3714 163RD ST",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503232588",
            "telephone_number": "515-865-5670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13731 HICKMAN RD",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503232193",
            "telephone_number": "844-334-3818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWLES",
        "first_name": "KYLEE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "114260",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IA",
            "license": "114260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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