KYLIE BOLLWEG
NPI 1891416822
Physical Therapist in Springfield, MO
About Kylie Bollweg NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KYLIE BOLLWEG (NPI 1891416822) is an individual physical therapist in Springfield, Missouri, licensed in Missouri (2022028646) and active in the NPI registry since September 2022. She is a graduate of Other (2022).
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 and accepts Medicare assignment
Kylie Bollweg 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.
Medicare Billing Reassignment
Medicare enrollment records show Kylie Bollweg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Springfield, MO 65804
- Reassigned Medicare billing, Missouri enrollment
- 5 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.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 65804 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Bollweg's NPI number?
The NPI number for Kylie Bollweg is 1891416822. It was assigned to this individual provider in the NPPES registry on September 7, 2022.
Where is Kylie Bollweg located?
Kylie Bollweg practices at 1839 E Independence St Ste R, Springfield, MO 65804. The listed phone number is (316) 260-3311.
What is Kylie Bollweg's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Kylie Bollweg enrolled in Medicare?
Yes. Kylie Bollweg 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 Kylie Bollweg's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kylie Bollweg reassigns Medicare benefits to Physical Therapy By Phoenix Of Springfield LLC (Springfield, MO). 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 Bollweg'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 Bollweg was last updated on September 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Kylie Bollweg · NPI 1891416822
Physical Therapist provider in Springfield, Missouri. Individual provider, active in the CMS NPPES registry since September 7, 2022.
## Identity
- **NPI:** 1891416822 (Entity type: Individual)
- **Enumerated:** September 7, 2022
- **Primary specialty:** Physical Therapist · taxonomy 225100000X
- **State license:** 2022028646 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1839 E INDEPENDENCE ST STE R, Springfield, MO 65804-3753
- **Phone:** (316) 260-3311
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Physical Therapy By Phoenix Of Springfield LLC (NPI 1831785559, Springfield, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** September 7, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1891416822) · Data from the CMS NPPES public registry.