Active NPI
Kyle A Pierson, DPT
- Physical Therapist
- Bowling Green, KY
National Provider Identifier
1740541556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 005818
- Practice address
- 165 Natchez Trace Ave Ste 200
Bowling Green, KY 42103-7947 - Phone
- (270) 796-4698
- Fax
- (270) 782-3274
- NPI assigned
- Jun 7, 2012
- Last updated
- Jun 12, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 005818 | KY | Primary |
Addresses
Primary practice location
165 Natchez Trace Ave Ste 200
Bowling Green, KY 42103-7947
Mailing address
201 Park St
Bowling Green, KY 42101-1708
Phone (270) 796-4698
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
165 Natchez Trace Ave
Suite 200
Bowling Green, KY 42103-7947
Phone (270) 781-5111
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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": "1339027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591920000000",
"number": "1740541556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 PARK ST",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421011708",
"telephone_number": "270-796-4698",
"fax_number": "270-782-3274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 NATCHEZ TRACE AVE STE 200",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421037947",
"telephone_number": "270-796-4698",
"fax_number": "270-782-3274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERSON",
"first_name": "KYLE",
"middle_name": "A",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-07",
"last_updated": "2020-06-12",
"certification_date": "2020-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "005818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.