Individual provider Active NPI

Kaitlin Brooke Taubenkimel, PT, DPT

  • Physical Therapist
  • Boca Raton, FL
National Provider Identifier
1255112561
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT40717 Issued in FL
Practice address
5030 Champion Blvd Ste D9
Boca Raton, FL 33496-2497
Phone
(561) 432-0111
NPI assigned
Oct 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT40717 FL Primary

Addresses

Primary practice location

5030 Champion Blvd Ste D9
Boca Raton, FL 33496-2497

Mailing address

5840 Corporate Way Ste 101
West Palm Beach, FL 33407-2040
Phone (561) 432-0111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231030001769 FL Practitioner - Physical Therapist in Private Practice 9830545748 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT40717FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gait Mechanics, Inc Physical Therapist CurrentSince Feb 17, 2026 Accepting new patients
Annerose Occupational Therapy Services LLC Physical Therapist CurrentSince Oct 18, 2023 Accepting new patients
Gold Coast Physical Therapy Associates LLC Physical Therapist PastSince Mar 3, 2024 Accepting new patients
Gold Coast Physical Therapy Associates, LLC PastSince Mar 3, 2024 Accepting new patients
Stride Therapy Solutions Inc Physical Therapist PastSince Nov 20, 2022 Accepting new patients

Locations

7000 W Palmetto Park Rd
Boca Raton, FL 33433
Phone (561) 213-3357

7000 W Palmetto Park Rd
Ste 210
Boca Raton, FL 33433
Phone (561) 409-4490

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1255112561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5840 CORPORATE WAY STE 101",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072040",
            "telephone_number": "561-432-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 CHAMPION BLVD STE D9",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334962497",
            "telephone_number": "561-432-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAUBENKIMEL",
        "first_name": "KAITLIN",
        "middle_name": "BROOKE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-12",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT40717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.