Kyralee Comeaux

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A5180 Issued in MD

Practice address

807 S Union Ave # a
Havre de Grace, MD 21078-3610

Phone

(410) 939-2262

NPI assigned

Jun 6, 2021

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Smith & Prothero Physical Therapy LLC

  • Orthopedic Physical Therapist
  • Havre de Grace, MD
  • NPI 1942200621
  NPD (past)
• Smith & Prothero Physical Therapy LLC

  • Occupational Therapist
  • Havre de Grace, MD
  • NPI 1942844832
  NPD (past)

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

{
    "created_epoch": "1622937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622937600000",
    "number": "1700453024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 HUNTINGTON WAY",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210154826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 S UNION AVE # A",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783610",
            "telephone_number": "410-939-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMEAUX",
        "first_name": "KYRALEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-06",
        "last_updated": "2021-06-06",
        "certification_date": "2021-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MD",
            "license": "A5180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melodie Cobb-Miller, BCBA LBA
• Nikia S. Coefield, PHARMD
• Hillary Coggins, LSW, BCBA, LBA
• Betsy Jane Cohen, FAAA
• Jeffrey Hirsch Cohen, O. D.
• Comprehensive Rehab Consultants PLLC
• Concord Point Chiropractic Center LLC
• Sarah A Craley, BCBA, LBA
• Megan E. Crawford
• Jessica Creek

• Physical Therapy Assistant in Havre de Grace, MD
• Providers in Havre de Grace, MD by specialty
• Physical Therapy Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.