KYLIE SHAFER PT, DPT, PCS
NPI 1609465095
Physical Therapist in Watertown, NY
About Kylie Shafer Pt, Dpt, Pcs NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KYLIE SHAFER PT, DPT, PCS (NPI 1609465095) is an individual physical therapist in Watertown, New York, licensed in New York (054332) and active in the NPI registry since January 2021.
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kylie Shafer Pt, Dpt, Pcs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kylie Shafer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tucson, AZ 85712
- Reassigned Medicare billing, Arizona enrollment
- 138 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WATERTOWN, NY 13601
WATERTOWN, NY 13601
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 Kylie Shafer's NPI number?
The NPI number for Kylie Shafer is 1609465095. It was assigned to this individual provider in the NPPES registry on January 11, 2021.
Where is Kylie Shafer located?
Kylie Shafer practices at 420 Gaffney Dr, Watertown, NY 13601. The listed phone number is (315) 788-2730.
What is Kylie Shafer's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Kylie Shafer enrolled in Medicare?
Yes. Kylie Shafer is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kylie Shafer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kylie Shafer reassigns Medicare benefits to Children's Clinics For Rehabilitative Services (Tucson, AZ). 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 Kylie Shafer'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 Kylie Shafer was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.