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

Kylie Bollweg

Individual provider Physical Therapist · NPI 1891416822

Kylie Bollweg is a Physical Therapist in Private Practice in Springfield, Missouri. Qualified in 2022, 4 years ago. Practices with Physical Therapy by Phoenix of Springfield LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
4
Licensed in
MO
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

1839 E Independence St Ste R
Springfield, MO 65804-3753
Phone: (316) 260-3311
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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 2022028646 (MO)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1891416822
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 7, 2022
Last updated in NPPESSeptember 7, 2022
Certification dateSeptember 7, 2022
Mailing address12627 E Central Ave Ste 308, Wichita, KS 67206-2839

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Physical Therapy By Phoenix Of Springfield Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Springfield