ANDREW DOYLE – Physical Therapist, NPI 1124630801

ANDREW DOYLE is a healthcare provider. based in Leavenworth, Kansas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 1106553 (KS). The NPI Number for ANDREW DOYLE is 1124630801

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW DOYLE
NPI
1124630801
Phone
(913) 250-5452
Address
721 METROPOLITAN AVE
Enumeration Date
23 August 2020
Last Update Date
23 August 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9132505452
Graduation Year
2020 (6 years ago)
PAC ID
8527426220
Group Practice PAC ID
9931091485
Professional Enrollment ID
I20230627002237
Address ID
KS660481403LE721XXAVEX301

Contacts

Other Endpoint
https://kingtherapykc.com/contact/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:5State licenses:1Other namesUpdated within 12 months

1,046 PHYSICAL THERAPIST IN PRIVATE PRACTICE in KS

Provider Addresses for ANDREW DOYLE

  • 721 METROPOLITAN AVE

    LEAVENWORTH, KS 660481407

    Phone: (913) 250-5452

    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: 2025-07-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20230627002237IPhysical Therapist In Private PracticeKSTBD
I20250725000974IPhysical Therapist In Private PracticeMOTBD

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 66048)

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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: 9931091485View full group profile
NameSpecialtyState
-MO
Occupational Therapist In Private PracticeMO
Occupational Therapist In Private PracticeMO
Occupational Therapist In Private PracticeMO
Physical Therapist In Private PracticeKS
Physical Therapist In Private PracticeKS
Qualified Speech Language PathologistKS
Physical Therapist In Private PracticeKS
Qualified Speech Language PathologistMO
Physical Therapist In Private PracticeHI

Reviews

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Frequently asked questions

What is the standard ID for ANDREW DOYLE in the U.S.?
In the U.S., ANDREW DOYLE is identified by NPI 1124630801.
Is ANDREW DOYLE currently accepting referrals based on NPI status?
Registry metadata lists ANDREW DOYLE as active.
Which specialty label fits ANDREW DOYLE?
NPPES ties ANDREW DOYLE to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to ANDREW DOYLE?
ANDREW DOYLE is associated with Leavenworth, Kansas in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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