Healthcare Provider Details

I. General information

NPI: 1124957014
Provider Name (Legal Business Name): KAYLA D YI DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2026
Last Update Date: 05/16/2026
Certification Date: 05/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 LIGHT ST FL 4
BALTIMORE MD
21202-1402
US

IV. Provider business mailing address

2340 PUTNAM LN
CROFTON MD
21114-1646
US

V. Phone/Fax

Practice location:
  • Phone: 410-202-8581
  • Fax:
Mailing address:
  • Phone: 410-937-2049
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: