KYLE WILFRED GAINES (PT, ATC/L) – Physical Therapist, NPI 1215554449

KYLE WILFRED GAINES (PT, ATC/L) is a healthcare provider. based in Tallahassee, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, ATC/L. They hold a License No. 1852 (FL). The NPI Number for KYLE WILFRED GAINES (PT, ATC/L) is 1215554449

Main info

Male
Sole Proprietor
28 Years Of Experience
Name
KYLE WILFRED GAINES (PT, ATC/L)
NPI
1215554449
Phone
(850) 725-5008
Address
2743 CAPITAL CIR NE STE 106
Enumeration Date
4 July 2020
Last Update Date
4 July 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8507255008
Graduation Year
1998 (28 years ago)
PAC ID
3870912108
Group Practice PAC ID
9234415951
Professional Enrollment ID
I20201006000674
Address ID
FL323081115TA2743XNEXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:5State licenses:2Digital endpointsOther names

4,633 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for KYLE WILFRED GAINES (PT, ATC/L)

  • 2743 CAPITAL CIR NE STE 106

    TALLAHASSEE, FL 323081115

    Phone: (850) 725-5008

    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: 2020-10-06

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
I20201006000674IPhysical 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes89814$0
View full utilization report →

Insurance plans in this area (ZIP 32308)

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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: 9234415951View full group profile
NameSpecialtyState
-FL
Occupational Therapist In Private PracticeFL

Reviews

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Frequently asked questions

What is the registry number for KYLE WILFRED GAINES (PT, ATC/L)?
The registry entry for KYLE WILFRED GAINES (PT, ATC/L) shows NPI 1215554449.
Quick check: is KYLE WILFRED GAINES (PT, ATC/L) active?
Public NPPES data shows KYLE WILFRED GAINES (PT, ATC/L) with an active NPI status right now.
Which specialty label fits KYLE WILFRED GAINES (PT, ATC/L)?
NPPES ties KYLE WILFRED GAINES (PT, ATC/L) to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to KYLE WILFRED GAINES (PT, ATC/L)?
KYLE WILFRED GAINES (PT, ATC/L) shows a connection to Tallahassee, Florida in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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