Active NPI
Holly L Kilpatrick, PT
- Physical Therapist
- Tampa, FL
National Provider Identifier
1073662474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT21519
- Practice address
- 6508 Gunn Highway
Tampa, FL 23625-4022 - Phone
- (813) 963-6923
- Fax
- (813) 264-0768
- NPI assigned
- Jan 9, 2007
- 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 Therapist | 225100000X | PT21519 | FL | Primary |
Addresses
Primary practice location
6508 Gunn Highway
Tampa, FL 23625-4022
Mailing address
6508 Gunn Highway
Independent Living Inc
Tampa, FL 23625-4022
Phone (813) 963-6923
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y0592 | Other | FL | BCBS |
| 11185101 | Other | FL | CITRUS HMO |
Other names 1
- Holly L Smith
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independent Living Inc. | Past | Accepting new patients | |
| Independent Living Inc. | Physical Therapist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Behavior Analyst
- Tampa, FL
- NPI 1750156519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073662474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6508 GUNN HIGHWAY",
"address_2": "INDEPENDENT LIVING INC",
"city": "TAMPA",
"state": "FL",
"postal_code": "236254022",
"telephone_number": "813-963-6923",
"fax_number": "813-264-0768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6508 GUNN HIGHWAY",
"city": "TAMPA",
"state": "FL",
"postal_code": "236254022",
"telephone_number": "813-963-6923",
"fax_number": "813-264-0768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILPATRICK",
"first_name": "HOLLY",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT21519",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Y0592",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CITRUS HMO",
"identifier": "11185101",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HOLLY",
"last_name": "SMITH",
"middle_name": "L",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.