Individual provider Active NPI

Katrina Lynne Pellegrini, PT

  • Physical Therapist
  • Rockledge, FL
National Provider Identifier
1003046590
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
24745 Issued in FL
Practice address
5445 Murrell Rd Ste 105
Rockledge, FL 32955-6679
Phone
(321) 802-5810
Fax
(321) 802-5811
NPI assigned
Jul 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 24745 FL Primary

Addresses

Primary practice location

5445 Murrell Rd Ste 105
Rockledge, FL 32955-6679

Mailing address

709 S Harbor City Blvd Ste 100
Melbourne, FL 32901-1936
Phone (321) 802-5810

Other practice location 1

3450 Northlake Blvd
suite 101
Palm Beach Gardens, FL 33403-1707
Phone (561) 625-2775

Other practice location 2

709 S Harbor City Blvd Ste 100
Melbourne, FL 32901-1936
Phone (321) 802-5810

Other practice location 3

2030 S Patrick Dr Ste 3
Indian Harbour Beach, FL 32937-4400
Phone (321) 802-5810

Other names 1

  • Katrina Lynne Kaiser Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200103000635 OH Practitioner - Physical Therapist in Private Practice 0244500189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empowerme Rehabilitation Illinois LLCGroup PAC ID 2365718277, 361 clinicians

Practice addresses (Care Compare)

355 W Central Ave
Springboro, OH 45066-1293
Phone (937) 345-0969

8155 Mentor Hills Dr
Mentor, OH 44060-7862
Phone (440) 701-6892

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24745FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Rehabilitation Illinois, LLC Physical Therapist CurrentSince Apr 25, 2025 Accepting new patients
Empowerme Rehabilitation Illinois, LLC Physical Therapist CurrentSince Apr 25, 2025 Accepting new patients

Locations

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

Interoperability endpoints

  • Direct secure messaging: kkaiser39021@ehrdirect.uhhospitals.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1003046590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 S HARBOR CITY BLVD STE 100",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011936",
            "telephone_number": "321-802-5810",
            "fax_number": "321-802-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5445 MURRELL RD STE 105",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329556679",
            "telephone_number": "321-802-5810",
            "fax_number": "321-802-5811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3450 Northlake Blvd",
            "address_2": "suite 101",
            "address_purpose": "LOCATION",
            "city": "Palm Beach Gardens",
            "state": "FL",
            "postal_code": "334031707",
            "country_code": "US",
            "telephone_number": "561-625-2775",
            "fax_number": "561-625-2776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "709 S Harbor City Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329011936",
            "country_code": "US",
            "telephone_number": "321-802-5810",
            "fax_number": "321-802-5811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2030 S Patrick Dr Ste 3",
            "address_purpose": "LOCATION",
            "city": "Indian Harbour Beach",
            "state": "FL",
            "postal_code": "329374400",
            "country_code": "US",
            "telephone_number": "321-802-5810",
            "fax_number": "321-802-5811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PELLEGRINI",
        "first_name": "KATRINA",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-20",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "24745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATRINA",
            "last_name": "KAISER",
            "middle_name": "LYNNE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rockledge, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.