Kyle R Adams, PT,DPT,CSCS,OCS, FAA

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

023035 Issued in NY

Practice address

310 Taughannock Blvd
Suite 1C
Ithaca, NY 14850

Phone

(607) 252-3500

Fax

(607) 252-3505

NPI assigned

Jul 28, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Cayuga Medical Center

  • General Acute Care Hospital
  • Ithaca, NY
  • NPI 1811210388
  NPD (past)
• Mauro-Bertolo Therapy SVCS PTPC

  • Physical Therapist
  • Cicero, NY
  • NPI 1962494930
  NPD (past)

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486512000000",
    "number": "1720088073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 TAUGHANNOCK BLVD",
            "address_2": "SUITE 1C",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "14850",
            "telephone_number": "607-252-3500",
            "fax_number": "607-252-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 TAUGHANNOCK BLVD",
            "address_2": "SUITE 1C",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "14850",
            "telephone_number": "607-252-3500",
            "fax_number": "607-252-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "KYLE",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "PT,DPT,CSCS,OCS, FAA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2017-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0230351",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "023035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Acaht Idental PC
• Sameer Acharya, MD
• Guney Acipayamli
• Adam Law, MD, PC
• Cullen Adams
• Addison'S Apothecary Inc.
• Katharine Aderounmu, OTR/L
• Rakshya Adhikari
• Advance Foot Works LLC
• Shannon Esme Aether, RN

• All providers in Ithaca, NY
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; 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.