Individual provider Active NPI

Kyle Steven Vinsh, PT, DPT

  • Physical Therapist
  • Panama City Beach, FL
National Provider Identifier
1871064303
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
34211 Issued in FL
Practice address
12125 Panama City Beach Pkwy
Panama City Beach, FL 32407-2609
Phone
(850) 236-7497
NPI assigned
Dec 10, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2018

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 34211 FL Primary

Addresses

Primary practice location

12125 Panama City Beach Pkwy
Panama City Beach, FL 32407-2609

Mailing address

12125 Panama City Beach Pkwy
Panama City Beach, FL 32407-2609
Phone (850) 236-7497

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220209001819 FL Practitioner - Physical Therapist in Private Practice 0749673044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy One Rehabilitation Center IncGroup PAC ID 7113131475, 10 clinicians

Practice addresses (Care Compare)

3210 Jenks Ave
Panama City, FL 32405-4224
Phone (850) 763-0603

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34211FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
360 Physical Therapy, LLC Current Accepting new patients
Therapy One Rehabilitation Center, Inc. Physical Therapist CurrentSince Jan 17, 2022 Accepting new patients

Locations

1076 W Chandler Blvd
Ste 103
Chandler, AZ 85224
Phone 4808211997116

3210 Jenks Ave
Panama City, FL 32405
Phone (850) 763-0603

13405 Panama City Beach Pkwy
Ste A
Panama City Beach, FL 32407
Phone (850) 236-7497

12125 Panama City Beach Pkwy
Panama City Beach, FL 32407
Phone (850) 236-7497

Organizations & group practices 2

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": "1544400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1871064303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12125 PANAMA CITY BEACH PKWY",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324072609",
            "telephone_number": "850-236-7497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12125 PANAMA CITY BEACH PKWY",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324072609",
            "telephone_number": "850-236-7497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINSH",
        "first_name": "KYLE",
        "middle_name": "STEVEN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-10",
        "last_updated": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "34211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; 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.