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

Kyle Joseph Black, PT

Individual provider Physical Therapist · NPI 1366968307

Kyle Joseph Black, PT is a Physical Therapist in Private Practice in Florence, Arizona. Qualified in 2017, 9 years ago. Practices with Athletico Ltd, a 2,186-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
9
Licensed in
AZ
In the registry since
2017
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

350 S Main St
Florence, AZ 85132-8513
Phone: (520) 868-0098
Fax: (520) 868-1098
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 3930 S Alma School Rd Ste 3, Chandler, AZ 85248-4510 — (480) 899-9829
  • 3930 S Alma School Rd Ste 3, Chandler, AZ 85248-4510
  • 1491 N Arizona Blvd Ste 109, Coolidge, AZ 85128-3261 — (520) 424-2222
  • 21300 North John Wayne Pakway, Maricopa, AZ 85139 — (520) 868-6100

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 13245 (AZ)

Record details

NPI number1366968307
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 22, 2017
Last updated in NPPESMarch 17, 2018
Mailing addressPo Box 1400, Florence, AZ 85132-3028

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 Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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