Kristin Leigh Killebrew, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA 19443 Issued in FL

Practice address

2082 Sarno Rd
Melbourne, FL 32935-3074

Phone

(321) 255-2818

NPI assigned

Feb 14, 2007

Last updated

Jul 8, 2007By 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)

Not enrolled

State licenses

Practice roles

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.

• Cora Health Services, Inc

  dba CORA Physical Therapy-Stoneybrook

  • Rehabilitation Clinic/Center
  • Winter Garden, FL
  • NPI 1104786805
  NPD (past)

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265575906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 N FERNWOOD DR",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2082 SARNO RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329353074",
            "telephone_number": "321-255-2818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLEBREW",
        "first_name": "KRISTIN",
        "middle_name": "LEIGH",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA 19443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Ruth Kienzle, MS, BCBA
• Morvarid Moini Kihm, D.M.D., M.P.H.
• Aaliyah M Kilbourne
• Susan Nelson Kiley, L.M.H.C
• Makenzie Ireland Fearon Kilgore, BSN, RN
• Katelyn E Kilpatrick
• Taylor Kilpatrick
• King Kim, D.M.D.
• Mark Kim, LMHC
• Murray A Kimmel, D.O.

• Physical Therapy Assistant in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.