Thomas J Kyllo, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4511 Issued in MN

Practice address

10551 165TH St W
Lakeville, MN 55044-5737

Phone

(952) 435-5300

Fax

(952) 898-1454

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Life Wellness Center-Eagan, PA

  • General Practice Physician
  • Eagan, MN
  • NPI 1699106773

  Physical Therapist

  NPD (past)
• Life Wellness Center, Inc.

  • General Practice Physician
  • Lakeville, MN
  • NPI 1083646889

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191369600000",
    "number": "1861427791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10551 165TH ST W",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550445737",
            "telephone_number": "952-435-5300",
            "fax_number": "952-898-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10551 165TH ST W",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550445737",
            "telephone_number": "952-435-5300",
            "fax_number": "952-898-1454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYLLO",
        "first_name": "THOMAS",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "4511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenchiro Kue, DO
• David Kuehl, PSYD LP
• Kolby Kulas, DDS
• Mallory Kurkosky, MA, LPCC
• Jennifer Jacqueline Felinski Kurtz-Port, PSYD
• John E Laco, DPM
• Lake Marion Chiropractic Center PA
• Lake Marion Dental Care
• Lakeville Assisted Living LLC
• Lakeville Behavioral Health, LLC

• Physical Therapist in Lakeville, MN
• Providers in Lakeville, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; 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.