Kyle Ray Gvillo, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2575 Issued in AL

Practice address

907 Avalon Ave Ste B
Muscle Shoals, AL 35661-2307

Phone

(256) 314-2213

Fax

(256) 251-6220

NPI assigned

Jul 26, 2018

Sex

Male

Sole proprietor

Yes

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

Enrolled in AL

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Shoals Family Chiropractic, LLC

  • Chiropractor
  • Muscle Shoals, AL
  • NPI 1700364049
  Medicare reassignment NPD Authorized official
• Healthsource of Florence LLC

  • Chiropractor
  • Florence, AL
  • NPI 1225563844
  NPD (past)

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1730666223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 AVALON AVE STE B",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356612307",
            "telephone_number": "256-314-2213",
            "fax_number": "256-251-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 AVALON AVE STE B",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356612307",
            "telephone_number": "256-314-2213",
            "fax_number": "256-251-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GVILLO",
        "first_name": "KYLE",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-26",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Gonzalez, MS, CCC-SLP
• Karthika Govindan, MD
• Emmy Graham, DO
• Gretchen Greer, PHARMD
• Ankur Kishore Gupta, MD
• Karl Tracy Hagler, M.D.
• Clarice Lucille Handshy, COTA/L
• Shelley Hannon, NP
• Happier at Home Shoals, LLC
• Jane Susan Harris

• Chiropractor in Muscle Shoals, AL
• Providers in Muscle Shoals, AL by specialty
• Chiropractor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.