Seanpatrick Andrew Kilker

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT39628 Issued in FL

Practice address

1536 N Jefferson St
Jacksonville, FL 32209-6525

Phone

(607) 222-0635

NPI assigned

Nov 7, 2022

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

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Group practices

Bend Physical Therapy III IncGroup PAC ID 3971021742, 7 clinicians

Bend Physical Therapy II IncGroup PAC ID 7719404201, 7 clinicians

Bend Physical Therapy IncGroup PAC ID 1456711340, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Bend Physical Therapy II, Inc.

  dba Bend Physical Therapy

  • Physical Therapy Clinic/Center
  • Boynton Beach, FL
  • NPI 1689477598
  Medicare reassignment Care Compare group NPD
• Bend Physical Therapy III, Inc.

  dba Bend Physical Therapy

  • Physical Therapy Clinic/Center
  • Jupiter, FL
  • NPI 1205639101
  Medicare reassignment Care Compare group NPD
• Bend Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • West Palm Beach, FL
  • NPI 1770277667

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1114635471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 SILVER SPRING CT",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320922447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1536 N JEFFERSON ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322096525",
            "telephone_number": "607-222-0635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILKER",
        "first_name": "SEANPATRICK",
        "middle_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT39628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Catherine Kiley, RBT
• Kelsey Kiley
• Rebecca Kilgore-Vohlken
• Manley W Kilgore II, M.D.
• John Wellesley Kilkenny III, M.D.
• Patricia Jean Killea, PHYSICAL THERAPIST
• Sophie Killebrew
• Kelleigh Dawn Killen, RD
• Sophia Houston Killian, RRT
• John Richard Killinger, CRNA

• Physical Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.