Kayla Severance, DPT
Individual provider Active NPI Physical Therapist · Lake City, FL
NPI 1013625532 · NPPES record last updated Oct 3, 2023
Key facts
- NPI
- 1013625532
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 1852 SW Barnett Way
Lake City, FL 32025-6953 - Phone
- (386) 752-7332
- NPI assigned
- Nov 14, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tallahassee Orthopedic and Sports Physical Therapy LLC
Practice addresses (Care Compare)
1431 Ohio Ave N
Live Oak, FL 32064-4817
Phone (850) 973-3316
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241022000104 | FL | Practitioner - Physical Therapist in Private Practice | 6305378803 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tallahassee Orthopedic & Sports Physical Therapy, LLC | Physical Therapist | Current |
Accepting new patients |
| Tallahassee Orthopedic & Sports Physical Therapy | Physical Therapist | Past | Accepting new patients |
| Tallahassee Orthopedic & Sports Physical Therapy | Physical Therapist | Past | Accepting new patients |
| Tallahassee Orthopedic & Sports Physical Therapy, LLC | Physical Therapist | Past | Accepting new patients |
| Tallahassee Orthopedic & Sports Physical Therapy | Physical Therapist | Past | Accepting new patients |
Locations
1431 Ohio Ave N
Live Oak, FL 32064
Phone (850) 739-7671
1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Yes |
Addresses
Primary practice location
1852 SW Barnett Way
Lake City, FL 32025-6953
Mailing address
1852 SW Barnett Way
Lake City, FL 32025-6953
Phone (386) 752-7332
Other providers in Lake City, FL
- Serenity Psychological Services Inc
- Katryna Jo Sessions
- Joseph Setchel
- Lisa Renee Setty
- Pramila Anjaneya Setty
- SF Brevard, LLC
- Brian Sganga
- Britany Kay Shaheen
- Shands at Lake Shore Inc
- Shands at Lake Shore Inc
All providers in Lake City, FL · Physical Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.