Organization Active NPI

PT KR LLC

  • Physical Therapist
  • Largo, FL
National Provider Identifier
1194300640
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PT KR LLC
Practice address
200 Clearwater Largo Rd S
Largo, FL 33770-3228
Phone
(464) 872-7581
NPI assigned
Mar 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Authorized official

Name
Kevin Ryan Rockefeller
Title
Manager
Phone
(904) 422-5231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

200 Clearwater Largo Rd S
Largo, FL 33770-3228

Mailing address

200 Clearwater Largo Rd S
Largo, FL 33770-3235
Phone (904) 422-5231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210601001767 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0446659072 Receives reassigned benefits from 5 practitioners
Practice locations: Palm Bay, FL; Vero Beach, FL; The Villages, FL; Tarpon Springs, FL; Stuart, FL; St Petersburg, FL; Sarasota, FL; Riverview, FL…

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766361600000",
    "number": "1194300640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CLEARWATER LARGO RD S",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703235",
            "telephone_number": "904-422-5231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CLEARWATER LARGO RD S",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703228",
            "telephone_number": "464-872-7581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PT KR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-16",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A",
        "authorized_official_last_name": "ROCKEFELLER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "904-422-5231"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; 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.

Verify at the official NPI Registry.