Kenneth Holbert Sr.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 1739 Issued in FL

Practice address

5450 Macdonald Ave Ste 1
Key West, FL 33040-5906

Phone

(305) 294-8866

Fax

(305) 294-8898

NPI assigned

Sep 28, 2015

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)

Enrolled

State licenses

Practice roles

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.

• Body Owners Physical Therapy & Wellness Center, LLC

  • Physical Therapist
  • Apopka, FL
  • NPI 1720151723
  NPD (past)

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

{
    "created_epoch": "1443398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443398400000",
    "number": "1134599632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 MACDONALD AVE STE 1",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330405906",
            "telephone_number": "305-294-8866",
            "fax_number": "305-294-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5450 MACDONALD AVE STE 1",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330405906",
            "telephone_number": "305-294-8866",
            "fax_number": "305-294-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLBERT",
        "first_name": "KENNETH",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-28",
        "last_updated": "2015-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 1739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Marie Henriquez, M.S., CCC-SLP
• Erin Henry
• Judy E G Hernandez Groover, APRN
• Jessy Herrera
• Joan Carol Eller Higgs, RN
• James W Holbrook, ED.D.
• Holiday CVS LLC
• Holiday CVS LLC
• Wendy Holifield, RD
• Christopher Homberg

• Physical Therapist in Key West, FL
• Providers in Key West, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; 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.