Individual provider Active NPI

Kyle Kammerle, PT

  • Physical Therapist
  • Willow Grove, PA
National Provider Identifier
1710510029
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1003 Easton Rd
Willow Grove, PA 19090-2027
Phone
(215) 659-7759
NPI assigned
Feb 14, 2020
Last updated
Feb 14, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

1003 Easton Rd
Willow Grove, PA 19090-2027

Mailing address

1003 Easton Rd
Willow Grove, PA 19090-2027
Phone (215) 659-7759

Other practice location 1

1003 Easton Rd
Willow Grove, PA 19090-2027
Phone (215) 659-7759

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200319001758 PA Practitioner - Physical Therapist in Private Practice 6103254461 Reassigns benefits to 2 organizations

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
Shkpt LLCGroup PAC ID 4981043874, 4 clinicians
Willow Grove Physical Therapy LLCGroup PAC ID 0749189256, 22 clinicians

Practice addresses (Care Compare)

300 Meetinghouse Rd
Jenkintown, PA 19046-2941
Phone (215) 499-5773

55 N York Rd
Suite 100
Hatboro, PA 19040-3149
Phone (215) 394-5116

875 N Easton Rd
Glenside, PA 19038-5239
Phone (215) 277-5552

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Willow Grove Physical Therapy, LLC Physical Therapist CurrentSince Feb 14, 2020 Accepting new patients
Shkpt LLC Physical Therapist CurrentSince Sep 16, 2025 Accepting new patients

Locations

55 N York Rd
Ste 100
Hatboro, PA 19040
Phone (215) 394-5116

300 Meetinghouse Rd
Jenkintown, PA 19046
Phone (215) 499-5773

632 Montgomery Ave
Narberth, PA 19072
Phone (215) 499-5773

2325 Maryland Rd
Ste 205
Willow Grove, PA 19090
Phone (215) 586-3772

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.

NPI Registry JSON

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

{
    "created_epoch": "1581638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1710510029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 EASTON RD",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190902027",
            "telephone_number": "215-659-7759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 EASTON RD",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190902027",
            "telephone_number": "215-659-7759"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1003 Easton Rd",
            "address_purpose": "LOCATION",
            "city": "Willow Grove",
            "state": "PA",
            "postal_code": "190902027",
            "country_code": "US",
            "telephone_number": "215-659-7759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAMMERLE",
        "first_name": "KYLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-14",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Grove, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; 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.