KYLE MICHAEL PAYNTER – Orthopedic Physical Therapist, NPI 1629808746

KYLE MICHAEL PAYNTER is a healthcare provider. based in Agawam, Massachusetts. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 13055 (SC). The NPI Number for KYLE MICHAEL PAYNTER is 1629808746

Main info

Male
Sole Proprietor
2 Years Of Experience
Name
KYLE MICHAEL PAYNTER
NPI
1629808746
Phone
(413) 789-0752
Address
470 Shoemaker Ln
Enumeration Date
5 August 2024
Last Update Date
21 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8036499797
Graduation Year
2024 (2 years ago)
PAC ID
0648789214
Group Practice PAC ID
3678745320
Professional Enrollment ID
I20251212001353
Address ID
SC298037330AI943XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:1State licenses:2Digital endpointsOther names

2,873 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MA

Provider Addresses for KYLE MICHAEL PAYNTER

  • 470 Shoemaker Ln

    Agawam, MA 010013620

    Phone: (413) 789-0752

    Type: Location

  • 943 PINE LOG RD

    AIKEN, SC 298037330

    Phone:

    Type: Mailing

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: 2025-12-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20250604002074IPhysical Therapist In Private PracticeMATBD
I20250630002429IPhysical Therapist In Private PracticeCTTBD
I20251212001353IPhysical Therapist In Private PracticeSCTBD

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 01001)

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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: 3678745320View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeSC
Physical Therapist In Private PracticeSC
Physical Therapist In Private PracticeVT
-SC
-SC
-SC
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeSC

Reviews

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Frequently asked questions

How is KYLE MICHAEL PAYNTER identified in CMS data?
CMS-hosted NPPES data lists KYLE MICHAEL PAYNTER with NPI 1629808746.
Can I rely on KYLE MICHAEL PAYNTER being an active provider?
As of the registry snapshot, KYLE MICHAEL PAYNTER is marked active.
What is KYLE MICHAEL PAYNTER best known for clinically?
Directory data describes KYLE MICHAEL PAYNTER with Orthopedic Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is KYLE MICHAEL PAYNTER based?
KYLE MICHAEL PAYNTER is tied to Agawam, Massachusetts in the data we show; additional addresses may exist on the full record.
Is the information about KYLE MICHAEL PAYNTER up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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