Active NPI
Kenneth E. Byrd, PT
- Physical Therapist
- Pensacola, FL
National Provider Identifier
1083792915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT23001
- Practice address
- 5855 Creek Station Dr
Pensacola, FL 32504-8626 - Phone
- (850) 477-4966
- Fax
- (850) 477-0267
- NPI assigned
- Nov 1, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 | PT23001 | FL | Primary |
Addresses
Primary practice location
5855 Creek Station Dr
Pensacola, FL 32504-8626
Mailing address
1153 Gulf Breeze Pkwy
Gulf Breeze, FL 32561-4835
Phone (850) 932-9223
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulf Breeze Physical Therapy Inc. | Physical Therapist | Past | Accepting new patients |
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Pensacola, FL
- NPI 1730183153
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083792915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1153 GULF BREEZE PKWY",
"city": "GULF BREEZE",
"state": "FL",
"postal_code": "325614835",
"telephone_number": "850-932-9223",
"fax_number": "850-932-9215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5855 CREEK STATION DR",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325048626",
"telephone_number": "850-477-4966",
"fax_number": "850-477-0267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYRD",
"first_name": "KENNETH",
"middle_name": "E.",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT23001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, 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.