Active NPI
Kenneshia Cross
- Gerontology Occupational Therapist
- Port St Lucie, FL
National Provider Identifier
1033703582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Occupational Therapist
- Practice address
- 1552 SE Floresta Dr # 1059
Port St Lucie, FL 34983-4069 - Phone
- (772) 867-3898
- NPI assigned
- Feb 25, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | |||
| Gerontology Occupational Therapist | 225XG0600X | Primary |
Addresses
Primary practice location
1552 SE Floresta Dr # 1059
Port St Lucie, FL 34983-4069
Mailing address
1552 SE Floresta Dr # 1059
Port St Lucie, FL 34983-4069
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wheelchair Clinic Inc | Single Specialty | Current | Accepting new patients |
Locations
5252 S Tamiami Trl
Ste 16
Sarasota, FL 34231
Phone (801) 440-5592
2021 E Village Green Cir
Ste C
Draper, UT 84020
Phone (801) 440-5592
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755216000000",
"number": "1033703582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1552 SE FLORESTA DR # 1059",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349834069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1552 SE FLORESTA DR # 1059",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349834069",
"telephone_number": "772-867-3898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROSS",
"first_name": "KENNESHIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-25",
"last_updated": "2025-08-15",
"certification_date": "2025-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XG0600X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist, Gerontology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port St Lucie, FL
- Cristian J Presutti M.D. , P.L.
- Kristen Michele Crocker
- Julie A Cromer, DDS
- Edward Francis Crooks, RDMS, RDCS, RVT
- Cross-Check Healthcare Consultant
- Crossing Paths Christian Coaching and Counseling LLC
- Crossroads Addiction Services, Inc
- Crosstown Family Care Home, Inc
- Crosstown Spine & Rehabilitation LLC
- Ty Crouch, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.