MEDICARE: KYLIE RAY PT, DPT

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	5501304437	MI

General Provider Information

NPI Number	:	1265364277
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KYLIE RAY PT, DPT

Provider Business Mailing Address
First Line	:	2001 BUTTERFIELD RD STE 1600
Second Line	:
City	:	DOWNERS GROVE
State	:	IL
Zip	:	60515-1211
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	29600 S WIXOM RD
Second Line	:
City	:	WIXOM
State	:	MI
Zip	:	48393-3459
Country	:	US
Telephone Number	:	248-960-1600
Fax Number	:

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

Provider Enumeration Date	:	06/02/2026
Last Update Date	:	06/02/2026

Similar Medicare Providers

1568026714 — KAITLYN LANGOLF
Practice Location Address:

29600 S WIXOM RD
WIXOM, MI
48393-3459

Practice Phone: 248-960-1600
Practice Fax: 248-960-9755

1356277842 — MAXLIVING WIXOM PLLC
Practice Location Address:

29680 S WIXOM RD
WIXOM, MI
48393-3430

Practice Phone: 248-892-7246
Practice Fax:

1053237156 — ZACHARY DAMON
Practice Location Address:

51229 CENTURY CT
WIXOM, MI
48393-2074

Practice Phone: 124-852-9100
Practice Fax:

1700710225 — CHARLES DAVID DUNAVAN DPT, PT
Practice Location Address:

29822 S WIXOM RD
WIXOM, MI
48393-3434

Practice Phone: 248-926-5826
Practice Fax: 248-926-5830

1093647984 — COLIN VETOR
Practice Location Address:

51229 CENTURY CT
WIXOM, MI
48393-2074

Practice Phone: 248-529-1008
Practice Fax:

1568394344 — DENISE LATRICE SPEARS LPN
Practice Location Address:

48240 PONTIAC TRL APT 102
WIXOM, MI
48393-2513

Practice Phone: 313-784-8080
Practice Fax:

Directions to “ KYLIE RAY PT, DPT” 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.