Individual ProviderKyle JenkinsPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address112 Calvin Ave, Springfield, IL 62704-6112(217) 652-2830PECOS EnrollmentBased on the most recent information from CMS, provider Kyle Jenkins does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1992263792Provider TypeIndividualFull NameJenkins, KyleCredentialPTAGenderMaleSole ProprietorYesEnumeration Date3/11/2019Last Updated3/11/2019Contact InformationPractice LocationPractice Address112 Calvin Ave, Springfield, IL 62704-6112Phone(217) 652-2830FaxUnlisted FaxMailing LocationMailing Address112 Calvin Ave, Springfield, IL 62704-6112Phone(217) 652-2830FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense49514California