Kyla Olivia Price, PT DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

60757671 Issued in WA

Practice address

1550 NE Riddell Rd Ste 170
Bremerton, WA 98310-3060

Phone

(360) 474-3274

Fax

(360) 824-6720

NPI assigned

Jun 29, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kyla Olivia Lee Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1831716430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 NAVAL AVE",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983123038",
            "telephone_number": "360-713-2043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 NE RIDDELL RD STE 170",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103060",
            "telephone_number": "360-474-3274",
            "fax_number": "360-824-6720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "KYLA",
        "middle_name": "OLIVIA",
        "credential": "PT DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-29",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "60757671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PT60757671",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYLA",
            "last_name": "LEE",
            "middle_name": "OLIVIA",
            "credential": "PT DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amber Rose Preston, D.C., LAT, ATC
• Renee Preston
• Amanda Marie Pribble
• Elizabeth Price, NURSE PRACTITIONER
• Josephine Mary Price
• Rebecca Price, RN
• Abby Prinster
• Brittany Ann Pritchard, MS, LBA, BCBA
• Meghan Pritchard, PA
• Patricia Pritchard, MSW

• Physical Therapist in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.