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Kyle T. Fennemore, DPT, CSCS

NPI 1437334547ActiveIndividual· Physical Therapist· Bear, DE

Physical Therapist (DPT, CSCS) with Ati Holdings, LLC, practicing in Bear, Delaware. Medicare paid $82,710 for services to 131 patients in 2024.

Overview

NPI1437334547
StatusActive
Entity typeIndividual
CredentialDPT, CSCS
Sole proprietorNo
NPI issuedJan 8, 2008
Last updated in NPPESJun 13, 2012

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000XJ1-0002306DE
Physical Therapist225100000XJT0000684DE

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physical Therapist in Private Practice (DE)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients131
Services billed3,901 across 10 procedure codes
Paid by Medicare$82,710

Medicare sources and data years

Education and affiliations

Graduation year2007
Medicare specialtyPhysical Therapist In Private Practice

Medical group

Source: CMS Care Compare

Other physical therapists in Bear

All 41 physical therapists in Bear · All physical therapists in Delaware