Active NPI
Kimberly Jill Davitt, MA
- Mechanotherapist
- Deerfield Beach, FL
National Provider Identifier
1386877611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- 40865
- Practice address
- 1645 SE 3Rd CT
Suite 100
Deerfield Beach, FL 33441-4465 - Phone
- (561) 445-9902
- NPI assigned
- Sep 3, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | 40865 | FL | Primary |
Addresses
Primary practice location
1645 SE 3Rd CT
Suite 100
Deerfield Beach, FL 33441-4465
Mailing address
101 S Ocean Dr
PH 606
Deerfield Beach, FL 33441-6115
Phone (561) 445-9902
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40865 | FL | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270425600000",
"number": "1386877611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 S OCEAN DR",
"address_2": "PH 606",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "334416115",
"telephone_number": "561-445-9902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1645 SE 3RD CT",
"address_2": "SUITE 100",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "334414465",
"telephone_number": "561-445-9902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVITT",
"first_name": "KIMBERLY",
"middle_name": "JILL",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-03",
"last_updated": "2010-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "FL",
"license": "40865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deerfield Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.