Individual provider Active NPI

Kaitlyn L Hanley, DPT

  • Physical Therapist
  • Oro Valley, AZ
National Provider Identifier
1780274688
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-32049 Issued in AZ
Practice address
12162 N Rancho Vistoso Blvd Ste 120
Oro Valley, AZ 85755-1898
Phone
(520) 229-0009
Fax
(520) 229-0007
NPI assigned
Jan 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 046545 NY
Physical Therapist 225100000X LPT-32049 AZ Primary

Addresses

Primary practice location

12162 N Rancho Vistoso Blvd Ste 120
Oro Valley, AZ 85755-1898

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8260

Other practice location 1

1900 Route 31 Ste 12
Macedon, NY 14502-8943
Phone (315) 986-4655

Other identifiers 1

IdentifierTypeStateIssuer
046545OtherNY1356530182

Other names 1

  • Kaitlyn L Phillips Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210225003360 NY Practitioner - Physical Therapist in Private Practice 6305251216 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Limitless Physical Therapy PCGroup PAC ID 5991967846, 32 clinicians

Practice addresses (Care Compare)

2561 Lac de Ville Blvd
Suite 100
Rochester, NY 14618-5645
Phone (585) 473-1290

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046545NYMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Limitless Physical Therapy PC CurrentSince Sep 21, 2022 Accepting new patients
Limitless Management Services, LLC CurrentSince Feb 19, 2026 Accepting new patients
Brownstone Physical Therapy, P.C. CurrentSince Jan 15, 2021 Accepting new patients
Shuman Physical Therapy Associates, P.C. Physical Therapist PastSince Jan 15, 2021 Accepting new patients

Locations

401 S Main St
Ste 2
Canandaigua, NY 14424
Phone (585) 412-6391

1900 State Route 31
Ste 12
Macedon, NY 14502
Phone (315) 331-3784

2561 Lac de Ville Blvd
Ste 100
Rochester, NY 14618
Phone (585) 473-1290

6534 Anthony Dr
Ste C
Victor, NY 14564
Phone (585) 869-5140

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1780274688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "866-370-8260",
            "fax_number": "517-435-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12162 N RANCHO VISTOSO BLVD STE 120",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857551898",
            "telephone_number": "520-229-0009",
            "fax_number": "520-229-0007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Route 31 Ste 12",
            "address_purpose": "LOCATION",
            "city": "Macedon",
            "state": "NY",
            "postal_code": "145028943",
            "country_code": "US",
            "telephone_number": "315-986-4655",
            "fax_number": "315-986-5901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANLEY",
        "first_name": "KAITLYN",
        "middle_name": "L",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-25",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "046545",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-32049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1356530182",
            "identifier": "046545",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLYN",
            "last_name": "PHILLIPS",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oro Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.