Individual provider Active NPI

Kyle Richard Mees, LPTA

  • Physical Therapy Assistant
  • Sissonville, WV
National Provider Identifier
1730322355
Registry record updated Apr 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
001443 Issued in WV
Practice address
302 Cedar Ridge Rd
Sissonville, WV 25320-9502
Phone
(304) 984-0046
Fax
(304) 984-3875
NPI assigned
Apr 13, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 001443 WV Primary
Physical Therapy Assistant 225200000X 06985 OH

Addresses

Primary practice location

302 Cedar Ridge Rd
Sissonville, WV 25320-9502

Mailing address

302 Cedar Ridge Rd
Sissonville, WV 25320-9502
Phone (304) 984-0046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
06985OHMDPhysical Therapy Assistant
001443WVMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239580800000",
    "number": "1730322355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 CEDAR RIDGE RD",
            "city": "SISSONVILLE",
            "state": "WV",
            "postal_code": "253209502",
            "telephone_number": "304-984-0046",
            "fax_number": "304-984-3875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 CEDAR RIDGE RD",
            "city": "SISSONVILLE",
            "state": "WV",
            "postal_code": "253209502",
            "telephone_number": "304-984-0046",
            "fax_number": "304-984-3875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEES",
        "first_name": "KYLE",
        "middle_name": "RICHARD",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-13",
        "last_updated": "2009-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WV",
            "license": "001443",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "06985",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sissonville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; 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.