Kyle Vasher
Individual provider Active NPI Physical Therapist · Bakersfield, CA
NPI 1760136469 · NPPES record last updated Feb 10, 2022
Key facts
- NPI
- 1760136469
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT301713 (CA)
- Practice address
- 4004 Panama LN Ste 100
Bakersfield, CA 93313-3770 - Phone
- (661) 377-1700
- Fax
- (661) 616-9199
- NPI assigned
- Feb 10, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Terrio Therapy-Fitness Inc
Practice addresses (Care Compare)
4004 Panama LN
Suite 100
Bakersfield, CA 93313-3770
Phone (661) 377-1700
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220418000231 | CA | Practitioner - Physical Therapist in Private Practice | 1850787045 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT301713 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Terrio Therapy-Fitness, Inc. | Physical Therapist | Current |
Accepting new patients |
| Bakersfield Memorial Hospital | Past | Accepting new patients | |
| Kern Infusion Services Inc | Past |
Accepting new patients |
Locations
3400 Calloway Dr
Ste 603
Bakersfield, CA 93312
1800 Westwind Dr
Ste 500
Bakersfield, CA 93301
Phone (661) 322-9411
13019 Stockdale Hwy
Unit 500
Bakersfield, CA 93314
4004 Panama Ln
Ste 100
Bakersfield, CA 93313
Phone (661) 664-8864
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT301713 | CA | Yes |
Addresses
Primary practice location
4004 Panama LN Ste 100
Bakersfield, CA 93313-3770
Mailing address
3400 Calloway Dr Ste 603
Bakersfield, CA 93312-2514
Phone (661) 377-1700
Other providers in Bakersfield, CA
- Shawna Vargas
- Yahaira Vargas
- Kenneth Justin Varnes
- Sarah Christine Varnes
- Sarayu Vasan
- Satya Narayan Vashishtha
- Vasinda Investments Inc.
- Vasindas' Around the Clock Care, Inc.
- Vasindas' Around the Clock Care, Inc.
- Cassandra Vasquez
All providers in Bakersfield, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.