Individual provider Active NPI

Katelyn Anne Stahl

  • Physical Therapist
  • Pensacola, FL
National Provider Identifier
1346193828
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT44425 Issued in FL
Practice address
4406 N Davis Hwy
Pensacola, FL 32503-2756
Phone
(850) 435-4800
Fax
(850) 807-5209
NPI assigned
Feb 16, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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 PT44425 FL Primary

Addresses

Primary practice location

4406 N Davis Hwy
Pensacola, FL 32503-2756

Mailing address

11945 San Jose Blvd Ste 300
Jacksonville, FL 32223-1627
Phone (904) 396-1725

Other practice location 1

4012 N 9th Ave # 3
Pensacola, FL 32503-2824
Phone (850) 807-4200

Other practice location 2

85 Bay Bridge Dr
Gulf Breeze, FL 32561-4468
Phone (850) 916-3700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260303001206 FL Practitioner - Physical Therapist in Private Practice 5991287765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Florida Surgeons PAGroup PAC ID 2769381391, 336 clinicians

Practice addresses (Care Compare)

4406 N Davis Hwy
Pensacola, FL 32503-2756
Phone (850) 435-4800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT44425FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North Florida Surgeons, PA CurrentSince Feb 17, 2026 Accepting new patients
North Florida Surgeons, PA CurrentSince Feb 17, 2026 Accepting new patients

Locations

85 Bay Bridge Dr
Gulf Breeze, FL 32561
Phone (850) 735-3376

1040 Gulf Breeze Pkwy
Ste 209
Gulf Breeze, FL 32561
Phone (850) 916-8480

11945 San Jose Blvd
Ste 300
Jacksonville, FL 32223

4406 N Davis Hwy
Pensacola, FL 32503
Phone (850) 434-1570

4012 N 9th Ave
#3
Pensacola, FL 32503
Phone (850) 807-4200

Organizations & group practices 2

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": "1771200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1346193828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11945 SAN JOSE BLVD STE 300",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322231627",
            "telephone_number": "904-396-1725",
            "fax_number": "904-396-4893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4406 N DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032756",
            "telephone_number": "850-435-4800",
            "fax_number": "850-807-5209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4012 N 9th Ave # 3",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325032824",
            "country_code": "US",
            "telephone_number": "850-807-4200",
            "fax_number": "850-916-8499",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "85 Bay Bridge Dr",
            "address_purpose": "LOCATION",
            "city": "Gulf Breeze",
            "state": "FL",
            "postal_code": "325614468",
            "country_code": "US",
            "telephone_number": "850-916-3700",
            "fax_number": "850-916-3710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAHL",
        "first_name": "KATELYN",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-16",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT44425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; 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.