Kaitlin Shiver Donner

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

307 E New Haven Ave Ste 2
Melbourne, FL 32901-4576

Phone

(321) 953-3991

NPI assigned

Jul 30, 2014

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Networks

• Freedom Health HMO Network

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.

• New Wave Physical Therapy

  • Physical Therapy Clinic/Center
  • Rockledge, FL
  • NPI 1013416965
  NPD Authorized official

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

{
    "created_epoch": "1406678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1245648526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1595 HIGHWAY A1A APT 302",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329375426",
            "telephone_number": "321-961-3805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 E NEW HAVEN AVE STE 2",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329014576",
            "telephone_number": "321-953-3991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "688 Cheney Hwy",
            "address_purpose": "LOCATION",
            "city": "Titusville",
            "state": "FL",
            "postal_code": "327806959",
            "country_code": "US",
            "telephone_number": "321-961-3805",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "688 Cheney Hwy",
            "address_purpose": "LOCATION",
            "city": "Titusville",
            "state": "FL",
            "postal_code": "327806959",
            "country_code": "US",
            "telephone_number": "321-961-3805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONNER",
        "first_name": "KAITLIN",
        "middle_name": "SHIVER",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald H. Dehaven MD
• Laurie Marie Donaldson, PH.D.
• Michael Alan Donato
• Kristen Colleen Donesec, PA-C
• Donna J. Badolato, MD, PA (Donna Johnston, MD.)
• John Donovan, M.D.
• Brianna Doran
• Pamela Dorman
• Stephanie L Dorsey, APRN
• Deborah Lynn Doswell H

• Physical Therapist in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.