Individual provider Active NPI

Tiffany Jessica Kasa, PT

  • Physical Therapist
  • Stuart, FL
National Provider Identifier
1306376819
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT32652 Issued in FL
Practice address
806 SW Federal Hwy
Stuart, FL 34994-2939
Phone
(772) 444-0520
NPI assigned
Jun 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 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 PT32652 FL Primary

Addresses

Primary practice location

806 SW Federal Hwy
Stuart, FL 34994-2939

Mailing address

806 SW Federal Hwy
Stuart, FL 34994-2939
Phone (772) 444-0520

Other identifiers 1

IdentifierTypeStateIssuer
PT32652OtherFLDOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180123003043 FL Practitioner - Physical Therapist in Private Practice 6709145527 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Miami, LM Miller School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

806 SW Federal Hwy
Stuart, FL 34994-2939
Phone (413) 977-9395

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT32652FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Refined Physical Therapy LLC Physical Therapist CurrentSince Jan 30, 2024 Accepting new patients
Palm Beach Orthopaedic Institute PA CurrentSince Jun 1, 2018 Accepting new patients
Palm Beach Orthopaedic Institute PA CurrentSince Jun 1, 2018 Accepting new patients

Locations

2055 Military Trl
Ste 200
Jupiter, FL 33458
Phone (561) 694-7777

4215 Burns Rd
Ste 100
Palm Beach Gardens, FL 33410
Phone (561) 727-1175

806 SW Federal Hwy
Stuart, FL 34994
Phone (413) 977-9395

1411 N Flagler Dr
Ste 4600
West Palm Beach, FL 33401
Phone (561) 323-6009

1411 N Flagler Dr
Ste 9800
West Palm Beach, FL 33401
Phone (561) 694-7778

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13081/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1497571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1306376819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 SW FEDERAL HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942939",
            "telephone_number": "772-444-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 SW FEDERAL HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942939",
            "telephone_number": "772-444-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASA",
        "first_name": "TIFFANY",
        "middle_name": "JESSICA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-16",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT32652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOH",
            "identifier": "PT32652",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.