Individual provider Active NPI

Kyle Moran

  • Physical Therapist
  • Davie, FL
National Provider Identifier
1790232718
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT31851 Issued in FL
Practice address
11870 W State Road 84 Ste C3
Davie, FL 33325-3811
Phone
(954) 474-3611
NPI assigned
Sep 7, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT31851 FL Primary

Addresses

Primary practice location

11870 W State Road 84 Ste C3
Davie, FL 33325-3811

Mailing address

16249 Biscayne Blvd
Aventura, FL 33160-4300
Phone (305) 405-0400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200901000400 FL Practitioner - Physical Therapist in Private Practice 5496082273 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland Clinic FloridaGroup PAC ID 7911807128, 717 clinicians

Practice addresses (Care Compare)

3250 Meridian Pkwy
Weston, FL 33331-3502
Phone (877) 463-2010

Merit-based Incentive Payment System (MIPS)

Final score
92.26 of 100Reported as apm
Quality
80.2
Promoting interoperability
99.24
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Clinic Florida a Nonprofit Corporation CurrentSince May 22, 2022 Accepting new patients
Baylife Physical Therapy & Rehabilitation Inc Physical Therapist CurrentSince Jun 26, 2020 Accepting new patients
Saylor Physical Therapy of Palm Beach Gardens LLC Physical Therapist CurrentSince Jun 1, 2021 Accepting new patients
Baylife Physical Therapy & Rehabilitation, Inc. Past Accepting new patients

Locations

10201 Arcos Ave
Ste 204
Estero, FL 33928
Phone (724) 223-2061

1001 N US Highway 1
Ste 102
Jupiter, FL 33477
Phone (561) 277-9011

7857 N University Dr
Fl Pkl
Parkland, FL 33067
Phone (954) 518-7000

10189 W Sunrise Blvd
Plantation, FL 33322
Phone (954) 236-6770

8950 Dr Ml King Jr St N
Ste 101
St Petersburg, FL 33702
Phone (727) 520-0800

300 Avenue of the Champions
Ste 100
West Palm Beach, FL 33418
Phone (561) 223-3872

3250 Meridian Pkwy
Weston, FL 33331
Phone (954) 562-7524

2950 Cleveland Clinic Blvd
Weston, FL 33331
Phone (954) 689-5000

20201 Saddle Club Rd
Weston, FL 33327
Phone (954) 659-5370

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

470 Johnson Rd
Ste 100
Washington, PA 15301

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": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1790232718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16249 BISCAYNE BLVD",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331604300",
            "telephone_number": "305-405-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11870 W STATE ROAD 84 STE C3",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333253811",
            "telephone_number": "954-474-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "KYLE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT31851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.