Kinsey Brooks
Individual provider Active NPI Physical Therapist · Pace, FL
NPI 1255979050 · NPPES record last updated Oct 4, 2023
Key facts
- NPI
- 1255979050
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT35357 (FL)
- Practice address
- 3650 Berryhill Rd
Pace, FL 32571-8321 - Phone
- (850) 995-1364
- NPI assigned
- Dec 12, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT35357 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulf Breeze Physical Therapy Inc. | Physical Therapist | Past |
Accepting new patients |
| Rehabclinics SPT Inc | Physical Therapist | Past |
Accepting new patients |
| West Florida Medical Center Clinic PA | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT35357 | FL | Yes |
Addresses
Primary practice location
3650 Berryhill Rd
Pace, FL 32571-8321
Mailing address
8333 N Davis Hwy
Pensacola, FL 32514-6049
Phone (850) 995-1364
Other providers in Pace, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.