Kyle Benjamin Staheli, DPT in Roy, UT - Medicare Physical Therapist Provider

Kyle Benjamin Staheli, DPT is a medicare enrolled "Physical Therapist" provider in Roy, Utah. His current practice location is 3485 W 5200 S, Roy, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 475-3900.

Kyle Benjamin Staheli is licensed to practice in Utah (license number 12841838-2401) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1982336434.

Contact Information

	Kyle Benjamin Staheli, DPT
	3485 W 5200 S, Roy, UT 84067-9438
	(801) 475-3900
	(801) 475-3901

Map and Direction

Healthcare Provider's Profile

Full Name	Kyle Benjamin Staheli
Gender	Male
Speciality	Physical Therapist
Location	3485 W 5200 S, Roy, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982336434
Provider Enumeration Date: 06/24/2022
Last Update Date: 01/23/2023

Medicare PECOS Information:

PECOS PAC ID: 7810370640
Enrollment ID: I20220811002137

Medical Identifiers

Medical identifiers for Kyle Benjamin Staheli such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982336434	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	12841838-2401 (Utah)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kyle Benjamin Staheli allows following entities to bill medicare on his behalf.

Provider Name	Ogden Clinic Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1578550083 PECOS PAC ID: 9638078033 Enrollment ID: O20040105000780

Provider Name	Rlc Physical Therapy & Rehab Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1801107495 PECOS PAC ID: 7416073374 Enrollment ID: O20100929000332

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kyle Benjamin Staheli is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kyle Benjamin Staheli, DPT Po Box 5546, Denver, CO 80217-5546 Ph: (801) 475-3500	Kyle Benjamin Staheli, DPT 3485 W 5200 S, Roy, UT 84067-9438 Ph: (801) 475-3900

Reviews and Comments

Physical Therapist in Roy, UT

Wasatch Therapy Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1957 W 5700 S, Roy, UT 84067 Phone: 801-774-8600 Fax: 801-774-8681
Joshua Brown, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5991 S 3500 W, Suite 300, Roy, UT 84067 Phone: 801-985-2700
Joe L Williams, R.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5924 S 1900 W, Roy, UT 84067 Phone: 801-774-8692 Fax: 801-774-7365
Mr. Brandon M Hepner, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5991 S 3500 W, Suite 300, Roy, UT 84067 Phone: 801-985-2700 Fax: 801-985-2707
Mrs. Brenda Hogge, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 736 South 2000 West, Suite 1, Roy, UT 84067 Phone: 801-985-2700 Fax: 866-245-8064
Alyssa Lyman, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3443 W 5600 S, Roy, UT 84067 Phone: 801-829-9249
Jerrin Kenneth Snook, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5991 S 3500 W Ste 300, Roy, UT 84067 Phone: 801-985-2700 Fax: 801-985-2707

Kyle Benjamin Staheli, DPT - Medicare Physical Therapist in Roy, UT