Individual provider Active NPI

Kylie Mulvehill, DPT

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1871472647
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
308727 Issued in CA
Practice address
4635 Mission Gorge PL Ste B
San Diego, CA 92120-4145
Phone
(619) 501-9037
NPI assigned
Aug 27, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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 308727 CA Primary

Addresses

Primary practice location

4635 Mission Gorge PL Ste B
San Diego, CA 92120-4145

Mailing address

4635 Mission Gorge PL Ste B
San Diego, CA 92120-4145

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251002004539 CA Practitioner - Physical Therapist in Private Practice 6709382278 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Function for Life Physical Therapy IncGroup PAC ID 3678758489, 36 clinicians

Practice addresses (Care Compare)

4635 Mission Gorge PL
Suite B
San Diego, CA 92120-4145
Phone (619) 501-9037

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
308727CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Function for Life Physical Therapy, Inc. Physical Therapist CurrentSince Sep 8, 2025 Accepting new patients

Locations

2719 Loker Ave W
Ste A
Carlsbad, CA 92010
Phone (760) 918-9200

1084 N El Camino Real
#B351
Encinitas, CA 92024

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1756252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1871472647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4635 MISSION GORGE PL STE B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921204145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4635 MISSION GORGE PL STE B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921204145",
            "telephone_number": "619-501-9037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULVEHILL",
        "first_name": "KYLIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-27",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "308727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; 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.