Kevin L Iagnemmo, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA30028 Issued in FL

Practice address

2135 SW 19TH Avenue Rd Ste 103
Ocala, FL 34471-7877

Phone

(352) 368-1340

Fax

(352) 237-7728

NPI assigned

Jun 7, 2022

Last updated

Jun 7, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Ocala Family Medical Center, Inc.

  • Family Medicine Physician
  • Ocala, FL
  • NPI 1871589192
  NPD
• Solace Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • Oxford, FL
  • NPI 1962046151
  NPD (past)

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1033848023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 SW 19TH AVENUE RD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344711391",
            "telephone_number": "352-237-4133",
            "fax_number": "352-237-7728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 SW 19TH AVENUE RD STE 103",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344717877",
            "telephone_number": "352-368-1340",
            "fax_number": "352-237-7728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IAGNEMMO",
        "first_name": "KEVIN",
        "middle_name": "L",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA30028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nabeel Hussain, M.D
• Amy Huston, MACCCSLP
• Erin McClary Hutchins, D.O.
• Hong Huynh
• Hyperbarics and Wound Care Services of Ocala LLC
• Rachel Brooke Iannce, NP
• Idr Med Florida LLC
• Ignite Community Counseling & Resource Center
• Ignite Home Health-Region 3 LLC
• Stephanie Shi Iken, MD

• Physical Therapy Assistant in Ocala, FL
• Providers in Ocala, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.