Individual provider Active NPI

Kaylee Garrett Simmerman, PT, DPT

  • Physical Therapist
  • St Petersburg, FL
National Provider Identifier
1144774563
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT31916 Issued in FL
Practice address
655 31St St S Ste a
St Petersburg, FL 33712-1805
Phone
(727) 828-6238
Fax
(855) 965-0912
NPI assigned
Aug 15, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 31916 FL
Physical Therapist 225100000X PT31916 FL Primary

Addresses

Primary practice location

655 31St St S Ste a
St Petersburg, FL 33712-1805

Mailing address

11125 Park Blvd Ste 104-129
Seminole, FL 33772-4757
Phone (931) 704-4540

Other practice location 1

8200 Bryan Dairy Rd Ste 150
Largo, FL 33777-1363
Phone (727) 565-0312

Other practice location 2

1405 Dr Martin Luther King Jr St N
St Petersburg, FL 33704-3301
Phone (931) 704-4540

Other identifiers 1

IdentifierTypeStateIssuer
831492031OtherFLOUT OF NETWORK PROVIDER

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address drkgsimm@femmempower.org Direct
Direct Messaging Address info@thehopedocs.org Direct

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

State licenses

LicenseStateTypeSpecialty
31916FLMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Femmempowerment and Advocacy CurrentSince Aug 6, 2019 Accepting new patients

Locations

11125 Park Blvd
Ste 104129
Seminole, FL 33772

1405 Dr Martin Luther King Jr St N
St Petersburg, FL 33704
Phone (727) 895-2300

655 31st St S
Ste A
St Petersburg, FL 33712
Phone (727) 828-6238

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.

NPI Registry JSON

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1144774563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11125 PARK BLVD STE 104-129",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337724757",
            "telephone_number": "931-704-4540",
            "fax_number": "727-362-1421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 31ST ST S STE A",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337121805",
            "telephone_number": "727-828-6238",
            "fax_number": "855-965-0912"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8200 Bryan Dairy Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337771363",
            "country_code": "US",
            "telephone_number": "727-565-0312",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1405 Dr Martin Luther King Jr St N",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337043301",
            "country_code": "US",
            "telephone_number": "931-704-4540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARRETT SIMMERMAN",
        "first_name": "KAYLEE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-15",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "31916",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT31916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OUT OF NETWORK PROVIDER",
            "identifier": "831492031",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drkgsimm@femmempower.org",
            "affiliation": "N",
            "endpointDescription": "Secure Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1405 Dr Martin Luther King Jr St N",
            "city": "St Petersburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337043301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@thehopedocs.org",
            "affiliation": "N",
            "endpointDescription": "Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "655 31st St S Ste A",
            "city": "St Petersburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337121805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.