Active NPI
Kaye Terrelonge, PT
- Physical Therapist
- Palm Beach Gardens, FL
National Provider Identifier
1164958252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 30278
- Practice address
- 4383 Northlake Blvd
Suite 309
Palm Beach Gardens, FL 33410-6253 - Phone
- (561) 775-4900
- NPI assigned
- May 10, 2017
- Sex
- Female
- 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 | PT 30278 | FL | Primary |
Addresses
Primary practice location
4383 Northlake Blvd
Suite 309
Palm Beach Gardens, FL 33410-6253
Mailing address
PO Box 6561
Delray Beach, FL 33482-6561
Phone (561) 562-2495
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171026001525 | FL | Practitioner - Physical Therapist in Private Practice | 2062788656 | Practice locations: West Palm Beach, FL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 30278 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494374400000",
"number": "1164958252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6561",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334826561",
"telephone_number": "561-562-2495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4383 NORTHLAKE BLVD",
"address_2": "SUITE 309",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334106253",
"telephone_number": "561-775-4900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRELONGE",
"first_name": "KAYE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-10",
"last_updated": "2017-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT 30278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.