Kaleb Daniel Thomas

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

42281 Issued in FL

Practice address

816 A1A N Ste 307
Ponte Vedra Beach, FL 32082-3219

Phone

(904) 543-4021

NPI assigned

Sep 17, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1235966987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8181 A C SKINNER PKWY APT 1511",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322565219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 A1A N STE 307",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320823219",
            "telephone_number": "904-543-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KALEB",
        "middle_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "42281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Madhatters LLC
• The Mottas Company
• The Unbridled Path, LLC
• Nicole Theiler, M.A.
• Thomas a. Tomlin M.D. PA
• Linsey T Thompson
• Robert Thompson II, D.C.
• Abby Lauren Threet, MD
• Jennifer Marie Thurman Olivieri
• Hope Elizabeth Timoney, RBT

• Physical Therapist in Ponte Vedra Beach, FL
• Providers in Ponte Vedra Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.