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

Kyle Tracy

Individual provider Physical Therapist · NPI 1710532627

Kyle Tracy is registered under Physical Therapist in Private Practice in New York, New York. Qualified in 2018, 8 years ago. Practices with Kellen Ryan Scantlebury Physical Therapy PLLC, a 5-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
8
Licensed in
NY
In the registry since
2019
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Practice location Address checks out

30 Broad St Bsmt A
New York, NY 10004-2387
Phone: (646) 790-7454
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4277 Hempstead Tpke Ste 209, Bethpage, NY 11714-5706 — (516) 731-3587
  • 31 E 32nd St Fl 4, New York, NY 10016 — (212) 759-2282

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 043822-1 (NY)

Record details

NPI number1710532627
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 7, 2019
Last updated in NPPESAugust 17, 2021
Certification dateAugust 17, 2021

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Kellen Ryan Scantlebury Physical Therapy Pllc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients14
Services billed 221 a service is one billed item, such as a visit, a test or a procedure
Average patient age75

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Kellen Ryan Scantlebury Physical Therapy PLLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice.

Other providers in New York