Individual provider Active NPI

Kimberly Kurzon

  • Physical Therapy Assistant
  • Orlando, FL
National Provider Identifier
1235428467
Registry record updated Mar 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA22181 Issued in FL
Practice address
4401 E Colonial Dr
Suite 107
Orlando, FL 32803-5200
Phone
(407) 898-5060
Fax
(407) 898-5185
NPI assigned
Mar 28, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA22181 FL Primary

Addresses

Primary practice location

4401 E Colonial Dr
Suite 107
Orlando, FL 32803-5200

Mailing address

4401 E Colonial Dr
Suite 107
Orlando, FL 32803-5200
Phone (407) 898-5060

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTA22181FLMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1301270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301270400000",
    "number": "1235428467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 E COLONIAL DR",
            "address_2": "SUITE 107",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328035200",
            "telephone_number": "407-898-5060",
            "fax_number": "407-898-5185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 E COLONIAL DR",
            "address_2": "SUITE 107",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328035200",
            "telephone_number": "407-898-5060",
            "fax_number": "407-898-5185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURZON",
        "first_name": "KIMBERLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-28",
        "last_updated": "2011-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA22181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; 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.