Kendall McCardell

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA32334 Issued in FL

Practice address

1414 59TH St S
Gulfport, FL 33707-3352

Phone

(727) 344-4608

NPI assigned

Oct 5, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1003531708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 CENTRAL AVE UNIT 2035",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337139063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 59TH ST S",
            "city": "GULFPORT",
            "state": "FL",
            "postal_code": "337073352",
            "telephone_number": "727-344-4608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARDELL",
        "first_name": "KENDALL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA32334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "kmccarde@gmail.com",
            "affiliation": "N",
            "address_1": "1661 Central Ave Unit 2035",
            "city": "Saint Petersburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337139063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Craig Kunins, M.D.
• Jessica Landon
• Janice Luiszer Lemieux, MSW, LCSW
• Rebecca Maureen Lynch
• Massage With Healing Touch
• Rachael Meir, PSYD
• David Ricardo Mendoza, D.M.D.
• Michael S Werner
• Michaelswernerdpmpa
• Mobile Therapy, Inc

• Physical Therapy Assistant in Gulfport, FL
• Providers in Gulfport, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.