Kyle Charles Anderson, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8876910-2401 Issued in UT

Practice address

15 S 1000 E Ste 25
Payson, UT 84651-5595

Phone

(801) 465-5610

Fax

(801) 465-5615

NPI assigned

Feb 13, 2014

Last updated

Apr 27, 2016By 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 UT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physical and Sports Therapy Services, LLCGroup PAC ID 3678565959, 6 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.

• Physical & Sports Therapy Services, LLC

  • Physical Therapist
  • Springville, UT
  • NPI 1326149865
  Medicare reassignment Care Compare group NPD
• Physical & Sports Therapy Services, LLC

  • Durable Medical Equipment & Medical Supplies
  • Springville, UT
  • NPI 1891871638
  NPD

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

{
    "created_epoch": "1392249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461715200000",
    "number": "1932523792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 E 400 S",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846631958",
            "telephone_number": "801-489-5669",
            "fax_number": "801-489-5783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 S 1000 E STE 25",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "846515595",
            "telephone_number": "801-465-5610",
            "fax_number": "801-465-5615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KYLE",
        "middle_name": "CHARLES",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-13",
        "last_updated": "2016-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "8876910-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helena Louisa Alexander, NP-C
• All Around Dental Care, LC
• Laura Lyn Allen, PMHNP
• Clarissa Samantha Amorino, CSW
• Cameron D Anderson, M.D.
• Meghan Elise Anderson, RBT
• Apple Valley Vision LLC
• Tracy Arguedas
• Ascent Mental Health PLLC
• Aspen Foot & Ankle, LLC

• Physical Therapist in Payson, UT
• Providers in Payson, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; 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.