Active NPI
Kaitlyn Faith Ballard
- Physical Therapy Assistant
- Lynn Haven, FL
National Provider Identifier
1013889872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 34346
- Practice address
- 301 W 26TH St
Lynn Haven, FL 32444-4713 - Phone
- (850) 769-5371
- NPI assigned
- Sep 22, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 34346 | FL | Primary |
Addresses
Primary practice location
301 W 26TH St
Lynn Haven, FL 32444-4713
Mailing address
220 Sea Sound Cir Apt 2107
Panama City Beach, FL 32407-2637
Phone (937) 336-9446
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34346 | FL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758499200000",
"number": "1013889872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 SEA SOUND CIR APT 2107",
"city": "PANAMA CITY BEACH",
"state": "FL",
"postal_code": "324072637",
"telephone_number": "937-336-9446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 W 26TH ST",
"city": "LYNN HAVEN",
"state": "FL",
"postal_code": "324444713",
"telephone_number": "850-769-5371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLARD",
"first_name": "KAITLYN",
"middle_name": "FAITH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-22",
"last_updated": "2025-09-22",
"certification_date": "2025-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "34346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynn Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.