J Kyle Hadley, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-4075 Issued in ID

Practice address

2005 12TH Ave Rd
Nampa, ID 83686-6311

Phone

(208) 463-0022

Fax

(208) 463-0031

NPI assigned

Jun 30, 2015

Last updated

Dec 4, 2023By the provider in NPPES

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

Enrolled in ID

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peak Physical Therapy P CGroup PAC ID 7012977168, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Peak Physical Therapy P C

  • Physical Therapist
  • Boise, ID
  • NPI 1073551560
  Medicare reassignment Care Compare group NPD
• Altitude Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Caldwell, ID
  • NPI 1619045309
  Medicare reassignment NPD
• Idaho Physical Therapy Inc.

  • Physical Therapist
  • Nampa, ID
  • NPI 1427103837
  NPD
• Institute of Physical Therapy and Fitness

  • Physical Therapist
  • Lewiston, ID
  • NPI 1043392087
  NPD (past)

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1881077600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 LYNDON FARM CT STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235005",
            "telephone_number": "951-374-7288",
            "fax_number": "951-666-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 12TH AVE RD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836866311",
            "telephone_number": "208-463-0022",
            "fax_number": "208-463-0031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1952 E 7000 S",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841216877",
            "country_code": "US",
            "telephone_number": "801-942-3311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HADLEY",
        "first_name": "J",
        "middle_name": "KYLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-30",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-4075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Haagenson, LPC, NCC
• Habits Physical Therapy LLC
• Elizabeth Hachova, DNP
• Elizabeth Hachtel, LMSW
• Rachel Hackney
• Robert Edward Hadley, LMSW
• Landon Knight Hagberg, O.D.
• Jensen Renee Haigh, PT, DPT
• Kenneth M Hainsworth, M.D.
• Dori Lin Halbert, LCPC

• Physical Therapist in Nampa, ID
• Providers in Nampa, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.