Active NPI
Kaitlyn L Hanley, DPT
- Physical Therapist
- Oro Valley, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- LPT-32049
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046545 | Other | NY | 1356530182 |
Other names 1
- Kaitlyn L Phillips
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 046545 | NY | MD | Prosthodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Limitless Physical Therapy PC | Current | Accepting new patients | |
| Limitless Management Services, LLC | Current | Accepting new patients | |
| Brownstone Physical Therapy, P.C. | Current | Accepting new patients | |
| Shuman Physical Therapy Associates, P.C. | Physical Therapist | Past | 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.
-
- Physical Therapy Clinic/Center
- Victor, NY
- NPI 1154688281
-
- Physical Therapy Clinic/Center
- Macedon, NY
- NPI 1356530182
-
- Physical Medicine & Rehabilitation Physician
- Rochester, NY
- NPI 1407648256
-
- Physical Therapist
- Rochester, NY
- NPI 1003928755
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.