Individual provider Active NPI

Kyle E Cherney, PT, DPT

  • Physical Therapist
  • Casa Grande, AZ
National Provider Identifier
1811247828
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9968 Issued in AZ
Practice address
1377 E Florence Blvd Ste 151-L5
Casa Grande, AZ 85122-5357
Phone
(520) 836-8621
Fax
(520) 836-7987
NPI assigned
Sep 17, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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 9968 AZ Primary
Orthopedic Physical Therapist 2251X0800X 9968 AZ

Addresses

Primary practice location

1377 E Florence Blvd Ste 151-L5
Casa Grande, AZ 85122-5357

Mailing address

580 N Camino Mercado Ste 13
Casa Grande, AZ 85122-5757

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151104002907 AZ Practitioner - Physical Therapist in Private Practice 2264742154 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harvest Physical Therapy, LLCGroup PAC ID 3173511375, 11 clinicians

Practice addresses (Care Compare)

3193 S Ranch House CT
Gilbert, AZ 85295-0313
Phone (505) 879-0495

580 N Camino Mercado
Suite 25
Casa Grande, AZ 85122-5757
Phone (855) 331-7522

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9968AZMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Harvest Physical Therapy, LLC Physical Therapist CurrentSince Sep 27, 2015 Accepting new patients
Resolve Rehabilitation and Wellness LLC CurrentSince Apr 17, 2025 Accepting new patients
The Pelvic Docs, LLC Physical Therapist PastSince Jun 25, 2023 Accepting new patients

Locations

1377 E Florence Blvd
Ste 151-L5
Casa Grande, AZ 85122
Phone (520) 836-8621

580 N Camino Mercado
Ste 25
Casa Grande, AZ 85122
Phone (520) 836-8621

1377 E Florence Blvd
Ste 151
Casa Grande, AZ 85122

580 N Camino Mercado
Ste 13
Casa Grande, AZ 85122
Phone (520) 836-8621

4365 E Pecos Rd
Ste 140
Gilbert, AZ 85295
Phone (480) 518-4676

3193 S Ranch House Ct
Gilbert, AZ 85295
Phone (505) 879-0495

Organizations & group practices 3

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": "1347840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1811247828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 N CAMINO MERCADO STE 13",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1377 E FLORENCE BLVD STE 151-L5",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225357",
            "telephone_number": "520-836-8621",
            "fax_number": "520-836-7987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERNEY",
        "first_name": "KYLE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-17",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "9968",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AZ",
            "license": "9968",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.