Kyle A Innes, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X012311-1 Issued in NY

Practice address

54 Miller Rd Ste 4
Mahopac, NY 10541-2223

Phone

(845) 721-4358

Fax

(845) 621-2318

NPI assigned

Feb 6, 2013

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, CT2 enrollments

Enrollment records 2

Specialty

Chiropractic

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sportsmed PT of Connecticut PLLCGroup PAC ID 5395134852, 11 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 and National Provider Directory roles.

• Sportsmed PT of Connecticut PLLC

  • Physical Therapist
  • Bridgeport, CT
  • NPI 1609441534

  Chiropractor

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1992044226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 RIDGE ST",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105092814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 MILLER RD STE 4",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105412223",
            "telephone_number": "845-721-4358",
            "fax_number": "845-621-2318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INNES",
        "first_name": "KYLE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-06",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "002270",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X012311-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Nichole Hines, DDS
• Amanda Paige Hordos, O.D.
• Hudson River Health Care
• Riaz B Hussain, RPH
• Jill Iglesias, LMSW
• Intentional Therapy LLC
• Melissa Ioimo, MSED
• Alan Vincent Ivicic, LCSW-R
• Rebecca Ivicic, PSYD
• Rachel Alexa Jackson, RN

• Chiropractor in Mahopac, NY
• Providers in Mahopac, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.