Individual provider Active NPI

Alice Barron Kahl, PT, ATC

  • Sports Physical Therapist
  • Melbourne, FL
National Provider Identifier
1417944711
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
License
37057 Issued in FL
Practice address
1437 Donegal Dr
Melbourne, FL 32940-6056
Phone
(949) 533-5370
NPI assigned
Oct 2, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X 15842 CA
Sports Physical Therapist 2251S0007X 37057 FL Primary

Addresses

Primary practice location

1437 Donegal Dr
Melbourne, FL 32940-6056

Mailing address

1437 Donegal Dr
Melbourne, FL 32940-6056
Phone (949) 533-5370

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
15842CAMDSports Physical Therapist
37057FLMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Integrated Manual Therapies LLC Sports PastSince Jan 1, 2004 Accepting new patients
Chesapeake Physical & Aquatic Therapy PastSince Jan 1, 1990 Accepting new patients
Chesapeake Physical and Aquatic Therapy PastSince Jan 1, 1990 Accepting new patients
Orthosport Physical Therapy of MD Sports PastSince Oct 11, 2005 Accepting new patients
Chesapeake Physical Aquatic Therapy Inc PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1128211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1417944711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1437 DONEGAL DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329406056",
            "telephone_number": "949-533-5370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1437 DONEGAL DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329406056",
            "telephone_number": "949-533-5370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHL",
        "first_name": "ALICE",
        "middle_name": "BARRON",
        "name_prefix": "Mrs.",
        "credential": "PT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-02",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CA",
            "license": "15842",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "FL",
            "license": "37057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.