Kim Alonso Inc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

OT1123 Issued in FL

Legal business name

KIM ALONSO INC

Practice address

10305 Timmons Rd
Thonotosassa, FL 33592-3354

Phone

(813) 690-9722

NPI assigned

Jun 26, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kimberly Karra Alonso, OTR

Title

President

Phone

(813) 690-9722

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529971200000",
    "number": "1366937922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10305 TIMMONS RD",
            "city": "THONOTOSASSA",
            "state": "FL",
            "postal_code": "335923354",
            "telephone_number": "813-690-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10305 TIMMONS RD",
            "city": "THONOTOSASSA",
            "state": "FL",
            "postal_code": "335923354",
            "telephone_number": "813-690-9722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM ALONSO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-26",
        "last_updated": "2018-06-26",
        "status": "A",
        "authorized_official_last_name": "ALONSO",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "KARRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-690-9722",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "OT1123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "671024796",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "880169000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Medicine & Rehabilitation Physician in Thonotosassa, FL
• Providers in Thonotosassa, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; 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.