Kelly Todd

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PT31476 Issued in FL

Practice address

627 8TH St
Clermont, FL 34711-2159

Phone

(352) 243-9341

Fax

(352) 242-8766

NPI assigned

Aug 18, 2017

Sex

Female

Sole proprietor

No

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

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Mobility Rehabilitation Inc.Group PAC ID 7911131198, 17 clinicians

FCHR PAGroup PAC ID 9638121684, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles (3 of 5)

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• FCHR PA

  • Physical Therapist
  • Clermont, FL
  • NPI 1760427975

  FL

  Medicare reassignment Care Compare group NPD
• Mobility Rehabilitation Inc.

  • Rehabilitation Clinic/Center
  • Clermont, FL
  • NPI 1154757342

  FL

  Medicare reassignment Care Compare group NPD
• Mobility Home Healthcare Inc

  • Home Health Agency
  • Clermont, FL
  • NPI 1669127981
  NPD (past)

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

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1366968620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12424 LAKE VALLEY DR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347116712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 8TH ST",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112159",
            "telephone_number": "352-243-9341",
            "fax_number": "352-242-8766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODD",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-18",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "PT31476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Tierman, PHARMD
• Tiffany Knightly
• Alexandra Tighe
• Gabrielle Timothy, CNA-HHA
• Wanda Faye Tipton, APRN
• Michael C Todd, PTA
• Frances Toddy, M.S., CCC-SLP
• Allison Reiprecht Toler, O.D.
• Tomas J. Ballesteros D.M.D. PA
• Antoine Tondereau

• All providers in Clermont, FL
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.