Kylie Bollweg
NPI 1891416822ActiveIndividual· Physical Therapist· Springfield, MO
Physical Therapist with Physical Therapy By Phoenix of Springfield LLC, practicing in Springfield, Missouri. Medicare paid $16,388 for services to 18 patients in 2024.
Overview
| NPI | 1891416822 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Sep 7, 2022 |
| Last updated in NPPES | Sep 7, 2022 |
| Certified by provider | Sep 7, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 2022028646 | MO |
| Physical Therapist | 225100000X | — | — |
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 (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 18 |
|---|---|
| Services billed | 856 across 7 procedure codes |
| Paid by Medicare | $16,388 |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Physical Therapy By Phoenix of Springfield LLCSpringfield, MO · 5 clinicians
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