Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kyle T Fennemore, DPT, CSCS

Individual provider Physical Therapist · NPI 1437334547

Dr. Kyle T Fennemore, DPT, CSCS is a Physical Therapist in Private Practice in Bear, Delaware. Qualified in 2007, 19 years ago. Practices with Ati Holdings, LLC, a 439-clinician group and accepts Medicare assignment. Licensed in Delaware.

Years since qualifying
19
Licensed in
DE
In the registry since
2008
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

100 Becks Woods Dr Ste 101
Bear, DE 19701-3835
Phone: (302) 392-3400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence J1-0002306 (DE)
Physical Therapist Taxonomy 225100000X · Licence JT0000684 (DE)

Record details

NPI number1437334547
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT , CSCS
Sole proprietorNo
NPI enumeratedJanuary 8, 2008
Last updated in NPPESJune 13, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Ati Holdings, Llc — 439 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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