Kyle Fitzgerald Lybarger, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1168558 Issued in TX

Practice address

103 W Loop 281
Longview, TX 75605-4653

Phone

(903) 315-5580

NPI assigned

Mar 20, 2007

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

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Texas Treatment CenterGroup PAC ID 0244253854, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• East Texas Treatment Center

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Kilgore, TX
  • NPI 1023002425

  Physical Therapist

  Care Compare group NPD (past)

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922123785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 BILL OWENS PKWY APT 163",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756052122",
            "telephone_number": "903-297-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W LOOP 281",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756054653",
            "telephone_number": "903-315-5580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYBARGER",
        "first_name": "KYLE",
        "middle_name": "FITZGERALD",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1168558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luckycharm Primary Care PLLC
• Stephen F Lummus, PA-C
• Julie Lundy, M.D.
• Luz Angelica Guevara
• Phuong Kim Ly, MD
• Jim S Lynch Jr., RCIS,RCVT
• Adrianne Michele Lyons
• M.E. Resources, LLC
• M.P. Counseling Services PLLC
• Kimberly L Mabry-Paroline, APRN, NP-C,PMHNP-BC

• Physical Therapist in Longview, TX
• Providers in Longview, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.