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

Kaylyn Vaillancourt, PT, DPT

Individual provider Physical Therapist · NPI 1831963578

Kaylyn Vaillancourt, PT, DPT is a Physical Therapist in Private Practice in Jacksonville, North Carolina. Qualified in 2023, 3 years ago. Practices with Peak Performance Sports and Physical Therapy LLC, a 61-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Carolina, New York and South Carolina.

Years since qualifying
3
Licensed in
NC, NY, SC
In the registry since
2023
Specialties on file
3
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2756 Richlands Hwy
Jacksonville, NC 28540-3611
Phone: (910) 378-0147
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6025 Mill Rd, Mayville, NY 14757-9709 — (716) 969-2236
  • 8 Hospital Center Blvd Ste 250, Hilton Head Island, SC 29926-8702 — (843) 671-7342

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence P22702 (NC)
Physical Therapist Taxonomy 225100000X · Licence 12778 (SC)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 050983-01 (NY)

Record details

NPI number1831963578
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedNovember 13, 2023
Last updated in NPPESNovember 3, 2025
Certification dateNovember 3, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Peak Performance Sports And Physical Therapy Llc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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