Active NPI
Kaylee Garrett Simmerman, PT, DPT
- Physical Therapist
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT31916
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Physical Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 831492031 | Other | FL | OUT OF NETWORK PROVIDER |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 31916 | FL | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Femmempowerment and Advocacy | Current | 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.
-
- Physical Therapy Clinic/Center
- St Petersburg, FL
- NPI 1386298172
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.