Kimberleigh Yates, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 30604 Issued in FL

Practice address

6872 W Virginia Ave
Jacksonville, FL 32209-1420

Phone

(904) 304-9860

NPI assigned

Aug 20, 2015

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

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

{
    "created_epoch": "1440028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440028800000",
    "number": "1366818601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6872 W VIRGINIA AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322091420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6872 W VIRGINIA AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322091420",
            "telephone_number": "904-304-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATES",
        "first_name": "KIMBERLEIGH",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-20",
        "last_updated": "2015-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 30604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Alden Yates
• Christine Chandler Yates, LMHC
• Dorian Elizabeth Yates, LCSW
• Jeri Waldman Yates, M.S.
• Katherine Yates, MA, LCMHC
• Melissa Marie Yates, M.D.
• Nicole Brianne Yates, DMD
• Philip Randolph Yates, PH. D.
• Mikhail Yatsishin, PTA
• Azadeh Yavari, D.D.S.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; 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.