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
- Last updated
- Aug 15, 2025
- 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 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Home Safety Consultant
- Gerontology Occupational Therapist
- Port St Lucie, FL
- NPI 1083478101
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
- Kristen Michele Crocker
- Julie A Cromer, DDS
- Edward Francis Crooks, RDMS, RDCS, RVT
- Cross-Check Healthcare Consultant (Home Safety Consultant)
- Claudia Elena Cross
- Crossing Paths Christian Coaching and Counseling LLC
- Crossroads Addiction Services, Inc
- Crosstown Family Care Home, Inc
- Crosstown Spine & Rehabilitation LLC (Cr)
- 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.