Individual provider Active NPI

Kayla Nicole Michalik, DPT

  • Physical Therapist
  • Fort Myers Beach, FL
National Provider Identifier
1356119044
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT41028 Issued in FL
Practice address
11400 Summerlin Square Dr
Fort Myers Beach, FL 33931-5300
Phone
(239) 314-5118
NPI assigned
Dec 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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 PT41028 FL Primary

Addresses

Primary practice location

11400 Summerlin Square Dr
Fort Myers Beach, FL 33931-5300

Mailing address

11400 Summerlin Square Dr
Fort Myers Beach, FL 33931-5300

Other practice location 1

2260 Logan Blvd N Unit 302
Naples, FL 34119-1491
Phone (239) 342-1340

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240507001609 FL Practitioner - Physical Therapist in Private Practice 0446691539 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Islandfit Physical Therapy and Wellness LLCGroup PAC ID 9436472875, 6 clinicians

Practice addresses (Care Compare)

11400 Summerlin Square Dr
Fort Myers Beach, FL 33931-5300
Phone (239) 314-5118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT41028FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Islandfit Physical Therapy and Wellness LLC CurrentSince Dec 29, 2024 Accepting new patients
Performance Optimal Health LLC Physical Therapist CurrentSince Apr 5, 2024 Accepting new patients
Islandfit Physical Therapy and Wellness LLC CurrentSince Dec 29, 2024 Accepting new patients

Locations

9 W Broad St
Ste 100
Stamford, CT 06902

11400 Summerlin Square Dr
Fort Myers Beach, FL 33931
Phone (239) 314-5118

7205 Estero Blvd
#5
Ft Myers Bch, FL 33931
Phone (240) 888-1956

2260 Logan Blvd N
Unit 302
Naples, FL 34119
Phone (239) 342-1340

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": "1702425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1356119044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11400 SUMMERLIN SQUARE DR",
            "city": "FORT MYERS BEACH",
            "state": "FL",
            "postal_code": "339315300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11400 SUMMERLIN SQUARE DR",
            "city": "FORT MYERS BEACH",
            "state": "FL",
            "postal_code": "339315300",
            "telephone_number": "239-314-5118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2260 Logan Blvd N Unit 302",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341191491",
            "country_code": "US",
            "telephone_number": "239-342-1340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICHALIK",
        "first_name": "KAYLA",
        "middle_name": "NICOLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-13",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT41028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; 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.