Active NPI
Kathryn Elizabeth Roe, PT, DPT
- Pediatric Physical Therapist
- Williston, FL
National Provider Identifier
1316766629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- PT40213
- Practice address
- 305 NE 4TH Ave
Williston, FL 32696-1819 - Phone
- (941) 962-3679
- NPI assigned
- Oct 4, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | PT40213 | FL | Primary |
Addresses
Primary practice location
305 NE 4TH Ave
Williston, FL 32696-1819
Mailing address
305 NE 4TH Ave
Williston, FL 32696-1819
Phone (941) 962-3679
Other names 1
- Dr. Kathryn Elizabeth Goins
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT40213 | FL | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728000000000",
"number": "1316766629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 NE 4TH AVE",
"city": "WILLISTON",
"state": "FL",
"postal_code": "326961819",
"telephone_number": "941-962-3679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 NE 4TH AVE",
"city": "WILLISTON",
"state": "FL",
"postal_code": "326961819",
"telephone_number": "941-962-3679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROE",
"first_name": "KATHRYN",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-04",
"last_updated": "2024-10-04",
"certification_date": "2024-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "FL",
"license": "PT40213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHRYN",
"last_name": "GOINS",
"middle_name": "ELIZABETH",
"prefix": "DR.",
"credential": "PT, DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Williston, FL
- Regional Health Partners LLC (Regional General Hospital)
- Regional Health Partners LLC (Regional General Hospital)
- Regional Health Partners LLC (RGH Rural Health Clinic)
- Shonverea S Robinson, APRN
- Christian H. Rodriguez
- Lawrence C Rush Jr., RPH
- Sanabiz LLC
- Terri Savage, PHARMD
- Kenneth A Schwiebert, D.M.D.
- Maria Scott-Robinson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.