Kylee Lewallen
NPI 1306529094ActiveIndividual· Physical Therapist· Rancho Santa Margarita, CA
Physical Therapist with Prosport Physical Therapy Professionals Inc, practicing in Rancho Santa Margarita, California. Medicare paid $34,880 for services to 58 patients in 2024.
Overview
| NPI | 1306529094 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Aug 9, 2023 |
| Last updated in NPPES | Aug 9, 2023 |
| Certified by provider | Aug 8, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 304484 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 58 |
|---|---|
| Services billed | 1,507 across 8 procedure codes |
| Paid by Medicare | $34,880 |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Prosport Physical Therapy Professionals IncCosta Mesa, CA · 96 clinicians
Other physical therapists in Rancho Santa Margarita
- 1104471523
- 1114979424
- 1174517791
- 1184125072
- 1205667136
- 1215753751
- 1306590559
- 1326756388
- 1326813536
- 1407888308
- 1407929995
- 1417020637
All 62 physical therapists in Rancho Santa Margarita · All physical therapists in California