Trystin A Ketcham

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT29457 Issued in FL

Practice address

13530 Weyburne Dr
Delray Beach, FL 33446-3648

Phone

(561) 866-1935

NPI assigned

Aug 12, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Trystin Enea Former name

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": "1407801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1023427366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13530 WEYBURNE DR",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334463648",
            "telephone_number": "561-866-1935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13530 WEYBURNE DR",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334463648",
            "telephone_number": "561-866-1935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETCHAM",
        "first_name": "TRYSTIN",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-12",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "FL",
            "license": "PT29457",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT29457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRYSTIN",
            "last_name": "ENEA",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Curtis J Kephart, MD
• Adam Kerr
• Maureen Kerr, ARNP
• Samantha Rose Kershen, DPT
• Barry Steven Kessler, M.D.
• Donald Keusch, MD
• Keww Primary Care Center LLC
• Keystone Care Med LLC
• Alexandra Khaimov, DDS
• Zahra Khan

• Physical Therapist in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.