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

Kayli Marie Kullos

Individual provider Physical Therapist · NPI 1881307627

Kayli Marie Kullos is a Physical Therapist in Private Practice in Peoria, Arizona. Qualified in 2022, 4 years ago. Practices with Desert Edge Physical Therapy LLC, a 5-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
4
Licensed in
AZ
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

21391 N Lake Pleasant Pkwy Ste 1810
Peoria, AZ 85382-2000
Phone: (623) 334-8767
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10100 W Lake Pleasant Pkwy Ste 1300, Peoria, AZ 85382-2012 — (623) 334-8767

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence LPT-32766 (AZ)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1881307627
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 26, 2022
Last updated in NPPESJanuary 15, 2023
Certification dateJanuary 15, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Desert Edge Physical Therapy Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Peoria