KYLIE SHAFER PT, DPT, PCS
NPI 1609465095
Physical Therapist in Watertown, NY

Active since January 11, 2021
420 GAFFNEY DR, WATERTOWN, NY 13601(315) 788-2730 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 23, 2026, Jan 11, 2021 (2 updates tracked since 2021).

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

NPI1609465095
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameKYLIE SHAFERCredential: PT, DPT, PCS
Location Address420 GAFFNEY DRWatertown, NY 13601-1823
Mailing Address420 Gaffney DrWatertown, NY 13601-1823
Sole ProprietorYes
Enumeration DateJanuary 11, 2021
Last NPPES UpdateMarch 23, 20262 updates tracked since enumeration
NPPES CertifiedMarch 23, 2026
✔ NPI 1609465095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Licenses✔ Licensed in NY · 054332✔ Licensed in CO · 0017467
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • 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.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
420 GAFFNEY DR, Watertown, NY 13601

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.

Multi-Specialty
2600 N WYATT DR
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.

Early Intervention Provider Agency
420 GAFFNEY DR
WATERTOWN, NY 13601
Early Intervention Provider Agency
420 GAFFNEY DR
WATERTOWN, NY 13601
Occupational Therapist
420 GAFFNEY DR
WATERTOWN, NY 13601
Speech-Language Pathologist
420 GAFFNEY DR
WATERTOWN, NY 13601
Physical Therapist
420 GAFFNEY DR
WATERTOWN, NY 13601
Speech-Language Pathologist
420 GAFFNEY DR
WATERTOWN, NY 13601
Specialist
420 GAFFNEY DR
WATERTOWN, NY 13601
Occupational Therapist
420 GAFFNEY DR
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.