Individual provider Active NPI

Kyle Prescott, PT

  • Physical Therapist
  • Yakima, WA
National Provider Identifier
1861808081
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60440807 Issued in WA
Practice address
4205 Castlevale Rd
Yakima, WA 98908-5603
Phone
(509) 576-0100
Fax
(509) 576-0101
NPI assigned
Jul 8, 2014
Last updated
Jul 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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 PT60440807 WA Primary

Addresses

Primary practice location

4205 Castlevale Rd
Yakima, WA 98908-5603

Mailing address

4205 Castlevale Rd
Yakima, WA 98908-5603
Phone (509) 576-0100

Other practice location 1

1100 E Nelson Rd
Moses Lake, WA 98837-2360
Phone (509) 766-7271

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181005002808 WA Practitioner - Physical Therapist in Private Practice 4082966825 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Creekside Physical Therapy PLLCGroup PAC ID 5294710562, 6 clinicians

Practice addresses (Care Compare)

4205 Castlevale Rd
Yakima, WA 98908-5603
Phone (509) 576-0100

Merit-based Incentive Payment System (MIPS)

Final score
85.66 of 100Reported as group
Quality
80.52
Improvement activities
40
Cost
78.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT60440807WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Creekside Physical Therapy, PLLC Physical Therapist CurrentSince Jun 1, 2018 Accepting new patients

Locations

4205 Castlevale Rd
Yakima, WA 98908
Phone (509) 576-0100

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1861808081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 CASTLEVALE RD",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989085603",
            "telephone_number": "509-576-0100",
            "fax_number": "509-576-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 CASTLEVALE RD",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989085603",
            "telephone_number": "509-576-0100",
            "fax_number": "509-576-0101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 E Nelson Rd",
            "address_purpose": "LOCATION",
            "city": "Moses Lake",
            "state": "WA",
            "postal_code": "988372360",
            "country_code": "US",
            "telephone_number": "509-766-7271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRESCOTT",
        "first_name": "KYLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-08",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60440807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.