MEDICARE: KYLE AUSTIN CHRISTOPHER DPT, PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist		KS
2	225100000X	Physical Therapist	11-06716	KS
3	225100000X	Physical Therapist	2021024159	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	11-06716	OTHER	KS	KANSAS STATE BOARD OF HEALING ARTS
2	2021024159	OTHER	MO	MISSOURI STATE BOARD OF HEALING ARTS

General Provider Information

NPI Number	:	1104491042
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KYLE AUSTIN CHRISTOPHER DPT, PT

Provider Business Mailing Address
First Line	:	1408 NE PARVIN RD APT 102
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64116-5009
Country	:	US
Telephone Number	:	580-919-0194
Fax Number	:

Provider Business Practice Location Address
First Line	:	6264 LEWIS DR STE 100
Second Line	:
City	:	PARKVILLE
State	:	MO
Zip	:	64152-3603
Country	:	US
Telephone Number	:	816-587-8001
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2021
Last Update Date	:	07/30/2021

Similar Medicare Providers

1164486494 — MRS. JULIE D ACKLEY PT, DMT, COMT, OCS
Practice Location Address:

6264 LEWIS DR , STE 102
PARKVILLE, MO
64152-3603

Practice Phone: 816-587-8001
Practice Fax: 816-587-8907

1053743633 — MRS. JENNIFER JO MCLAUGHLIN DPT
Practice Location Address:

6264 LEWIS DR
PARKVILLE, MO
64152-3603

Practice Phone: 816-587-8001
Practice Fax: 816-587-8907

1053788539 — NICOLE GRAVINO-DUNN DPT
Practice Location Address:

6264 LEWIS DR STE 100
PARKVILLE, MO
64152-3603

Practice Phone: 816-587-8001
Practice Fax:

1376096362 — CECILIA MARGRET BENTON DPT
Practice Location Address:

6264 LEWIS DR STE 100
PARKVILLE, MO
64152-3603

Practice Phone: 816-587-8001
Practice Fax:

1508397597 — ELIZABETH THORNE LLC
Practice Location Address:

6264 LEWIS DR , STE 101
PARKVILLE, MO
64152-3603

Practice Phone: 913-353-5659
Practice Fax:

1760105845 — KEYANNA DEBOSE PT, DPT
Practice Location Address:

6264 LEWIS DR STE 100
PARKVILLE, MO
64152-3603

Practice Phone: 816-587-8001
Practice Fax:

Directions to “ KYLE AUSTIN CHRISTOPHER DPT, PT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.