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

Kyle Passeri, PT, DPT

Individual provider Physical Therapist · NPI 1275085896

Kyle Passeri, PT, DPT is a Physical Therapist in Private Practice in Carbondale, Pennsylvania. Qualified in 2016, 10 years ago. Practices with Pivot Physical Therapy of Pennsylvania LLC, a 122-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
10
Licensed in
PA
In the registry since
2016
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

82 N Main St Ste 1
Carbondale, PA 18407-1914
Phone: (570) 282-0200
Fax: (570) 282-2229
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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 PT025624 (PA)

Record details

NPI number1275085896
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedOctober 31, 2016
Last updated in NPPESMay 7, 2020
Certification dateMay 7, 2020
Mailing address655 Northern Blvd, South Abington Township, PA 18411-8740

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Pivot Physical Therapy Of Pennsylvania Llc — 122 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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