Kelly Worsfold

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTT29262 Issued in FL

Practice address

12901 Broleman Rd
Orlando, FL 32832-6107

Phone

(407) 641-0808

Fax

(407) 812-4358

NPI assigned

Jun 18, 2014

Sex

Female

Sole proprietor

Yes

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)

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 and National Provider Directory roles.

• Babies on the Move, LLC

  • Physical Therapy Clinic/Center
  • Orlando, FL
  • NPI 1093454712
  NPD Authorized official
• Florida Pediatric Therapy, LLC

  • Developmental Therapist
  • Orlando, FL
  • NPI 1457007742
  NPD
• Florida Pediatric Therapy, LLC

  • Clinic/Center
  • Orlando, FL
  • NPI 1043483969

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1326452269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12901 BROLEMAN RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328326107",
            "telephone_number": "407-641-0808",
            "fax_number": "407-812-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12901 BROLEMAN RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328326107",
            "telephone_number": "407-641-0808",
            "fax_number": "407-812-4358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORSFOLD",
        "first_name": "KELLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-18",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PTT29262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• World of Independence, in
• World of Pediatrics, LLC
• Ameigh Verderosa Worley, MD
• Tonya L Worner, SLP
• Mary Worrell, RN
• Matthew Worsfold
• Melissa Jane Worsfold, PA-C
• Lisa Joann Worsham
• Anna Nardo Wortel, ARNP
• Elizabeth Wortham

• Physical Therapist in Orlando, FL
• Providers in Orlando, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; 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.