Kelley Hinson Light, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

16176 Issued in FL

Practice address

5601 Okeechobee Blvd
Suite B
West Palm Beach, FL 33417-4489

Phone

(561) 432-0111

Fax

(561) 432-1075

NPI assigned

Jun 16, 2006

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

Practice roles

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.

• Gabriel Rehabilitation, Inc

  • Physical Therapist
  • Juno Beach, FL
  • NPI 1114014420
  NPD (past)
• Renew the Breast Care Boutique Inc

  • Customized Equipment (DME)
  • West Palm Beach, FL
  • NPI 1487028296
  NPD (past)
• Synergy Therapeutics Inc

  • Physical Therapist
  • Jupiter, FL
  • NPI 1346272853
  NPD (past)

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492473600000",
    "number": "1407890858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6169 S JOG RD",
            "address_2": "SUITE A11",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334676579",
            "telephone_number": "561-432-0111",
            "fax_number": "561-432-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 OKEECHOBEE BLVD",
            "address_2": "SUITE B",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334174489",
            "telephone_number": "561-432-0111",
            "fax_number": "561-432-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGHT",
        "first_name": "KELLEY",
        "middle_name": "HINSON",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2017-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "16176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lifespan Breast and Imaging Center, LLC
• Lifesprout, LLC
• Oren H Lifshitz, M.D.
• Light Angels Behavioral Therapy Inc
• Light to Minds LLC
• Lightbridge LLC
• Darlene Ochoa Ligon
• Mie Takizawa Lilavois, FNP-C
• Lillian Lyanne Azqueta
• Eunjung Lim

• Physical Therapist in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; 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.