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

Kyle B Wiley, PT, DPT, ATC

Individual provider Physical Therapist · NPI 1427574417

Kyle B Wiley, PT, DPT, ATC is a Physical Therapist in Private Practice in Walla Walla, Washington. Qualified in 2017, 9 years ago. Practices with Providence Health and Services - Washington, a 264-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
9
Licensed in
WA
In the registry since
2017
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.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

401 W Poplar St
Walla Walla, WA 99362-2846
Phone: (509) 897-2100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT60770176 (WA)

Record details

NPI number1427574417
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT , ATC
Sole proprietorNo
NPI enumeratedAugust 21, 2017
Last updated in NPPESAugust 21, 2017

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Providence Health And Services - Washington — 264 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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