Constance Jean Kershner, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT36459 Issued in FL

Practice address

5101 Brittany Dr S Ste 16
Saint Petersburg, FL 33715-1565

Phone

(727) 308-9848

Fax

(727) 502-6027

NPI assigned

Oct 5, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Connie Kershner Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1013689207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 1ST AVE S STE 200-161",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337014361",
            "telephone_number": "727-308-9848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 BRITTANY DR S STE 16",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337151565",
            "telephone_number": "727-308-9848",
            "fax_number": "727-502-6027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERSHNER",
        "first_name": "CONSTANCE",
        "middle_name": "JEAN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT36459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONNIE",
            "last_name": "KERSHNER",
            "credential": "DPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Joyce A Kepto, ARNP
• Chelsi Kerby
• Tia Kern-Butler, PSY.D.
• John E Kern, DO
• Jody Z Kerr, MD
• Ashleigh Kervel, PA-C
• Joan E. Kerwin, LMFT
• Julie B Kessel, MD
• Evanna Monique Kessler
• Marissa Kessler, MS, ED.S

• Physical Therapist in Saint Petersburg, FL
• Providers in Saint Petersburg, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.