KYLE BRIAN KEMP DPT
NPI 1043142854
Student in an Organized Health Care Education/Training Program in Watertown, CT

Active since June 03, 2026Accepts Medicare Assignment
777 ECHO LAKE RD UNIT I, WATERTOWN, CT 06795(959) 209-4318(959) 209-4336 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kyle Brian Kemp Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KYLE BRIAN KEMP DPT (NPI 1043142854) is an individual student in an organized health care education/training program in Watertown, Connecticut and active in the NPI registry since June 2026. He is a graduate of Other (2024).

NPPES Registry Identity

NPI1043142854
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKYLE BRIAN KEMPCredential: DPT
Location Address777 ECHO LAKE RD UNIT IWatertown, CT 06795-6618
Mailing Address777 Echo Lake Rd Unit IWatertown, CT 06795-6618 · (203) 901-0725
Fax(959) 209-4336
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 3, 2026
NPPES CertifiedJune 3, 2026
✔ NPI 1043142854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
777 ECHO LAKE RD UNIT I, Watertown, CT 06795

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kyle Brian Kemp Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153889977
PECOS Enrollment IDI20260821000135

Medicare Billing Reassignment

Medicare enrollment records show Kyle Kemp reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
777 ECHO LAKE RD, SUITE I
Watertown, CT 06795
  • Reassigned Medicare billing, Connecticut enrollment
  • 24 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
777 ECHO LAKE RD UNIT I
WATERTOWN, CT 06795
Physical Therapist (Orthopedic)
777 ECHO LAKE RD UNIT I
WATERTOWN, CT 06795
Physical Therapist
777 ECHO LAKE RD UNIT I
WATERTOWN, CT 06795

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kyle Kemp's NPI number?

The NPI number for Kyle Kemp is 1043142854. It was assigned to this individual provider in the NPPES registry on June 3, 2026.

Where is Kyle Kemp located?

Kyle Kemp practices at 777 Echo Lake Rd Unit I, Watertown, CT 06795. The listed phone number is (959) 209-4318.

What is Kyle Kemp's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kyle Kemp enrolled in Medicare?

Yes. Kyle Kemp is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kyle Kemp's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Kemp reassigns Medicare benefits to Connect Physical Therapy, LLC (Watertown, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kyle Kemp's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kyle Kemp was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.