KYLE D SELLERS – Physical Therapist, NPI 1104669555

KYLE D SELLERS is a healthcare provider. based in Fort myers, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. PTT41791 (FL). The NPI Number for KYLE D SELLERS is 1104669555

Main info

Male
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
KYLE D SELLERS
NPI
1104669555
Phone
(239) 334-7000
Address
14601 HOPE CENTER LOOP
Enumeration Date
14 June 2024
Last Update Date
27 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2393347000
Graduation Year
2024 (2 years ago)
PAC ID
4385189711
Group Practice PAC ID
2668442799
Professional Enrollment ID
I20240710002427
Address ID
FL339124707FO14601LOOP400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

4,633 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for KYLE D SELLERS

  • 14601 HOPE CENTER LOOP

    FORT MYERS, FL 339124707

    Phone: (239) 334-7000

    Fax: (239) 334-7000

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-07-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240710002427IPhysical Therapist In Private PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33912)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2668442799View full group profile
NameSpecialtyState
Physician AssistantFL
Hand Surgery, Orthopedic SurgeryFL
Physician AssistantFL
-FL
Physician AssistantFL
Nurse PractitionerFL
Orthopedic SurgeryFL
Physical Therapist In Private PracticeFL
Orthopedic SurgeryFL
Physician AssistantNV

Reviews

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Frequently asked questions

What is the 10-digit NPI for KYLE D SELLERS?
KYLE D SELLERS — NPI 1104669555 — is the standard way to identify this listing.
Is KYLE D SELLERS still practicing?
KYLE D SELLERS is currently listed as active in the public NPI registry.
What is KYLE D SELLERS's specialty?
The listing groups KYLE D SELLERS with Physical Therapist. Clinical services aligned with this taxonomy classification.
What address line appears for KYLE D SELLERS?
KYLE D SELLERS's geographic hint is Fort Myers, Florida in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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