Kylie Spotts, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8518 Issued in ID

Practice address

802 Shoup St
Salmon, ID 83467-4305

Phone

(208) 756-2005

Fax

(208) 756-4020

NPI assigned

Apr 3, 2023

Sex

Female

Sole proprietor

No

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 ID

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

High Peaks Physical Therapy P aGroup PAC ID 6608821194, 8 clinicians

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 and National Provider Directory roles.

• High Peaks Physical Therapy P a

  • Physical Therapist
  • Driggs, ID
  • NPI 1356412837

  ID, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Physical Therapy Clinic,Inc.

  • Physical Therapy Clinic/Center
  • Salmon, ID
  • NPI 1366799827

  ID

  Medicare reassignment NPD

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1740985381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1107",
            "city": "SALMON",
            "state": "ID",
            "postal_code": "834671107",
            "telephone_number": "208-756-2005",
            "fax_number": "208-756-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 SHOUP ST",
            "city": "SALMON",
            "state": "ID",
            "postal_code": "834674305",
            "telephone_number": "208-756-2005",
            "fax_number": "208-756-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPOTTS",
        "first_name": "KYLIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "8518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Colleen Sergeant, RN
• Amber Sessions
• Marquee Jo Shiner, LMT
• Shopko Stores Operating Co., LLC
• Bruce Slavin, O.D.
• St Patrick Hosp and Health Sci Ctr
• Steele Memorial Medical Center
• Steele Memorial Medical Center
• Steele Memorial Medical Center
• Steele Memorial Medical Center

• All providers in Salmon, ID
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.