Individual provider Active NPI

Kathleen Noemi Boyle, P.T.

  • Physical Therapist
  • Lutz, FL
National Provider Identifier
1437238441
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT0011498 Issued in FL
Practice address
17551 N Dale Mabry
Lutz, FL 33548
Phone
(813) 758-7798
Fax
(813) 960-0103
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT0011498 FL Primary

Addresses

Primary practice location

17551 N Dale Mabry
Lutz, FL 33548

Mailing address

3141 Lakestone Dr
Tampa, FL 33618-1120
Phone (813) 758-7798

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040503000241 FL Practitioner - Physical Therapist in Private Practice 7911995741 Reassigns benefits to 3 organizations
Practice locations: Tampa, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT0011498FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ap Therapy LLC Physical Therapist CurrentSince Feb 11, 2026 Accepting new patients
Ap Therapy LLC Physical Therapist CurrentSince Feb 11, 2026 Accepting new patients
Florida Luna Care Physical Therapy LLC Physical Therapist CurrentSince Oct 20, 2023 Accepting new patients
Lampert'S Home Therapy, Inc. CurrentSince Apr 16, 2015 Accepting new patients
Therapeutic Rehab Specialists Inc. PastSince Mar 31, 2016 Accepting new patients

Locations

5011 Gate Pkwy
Ste 100
Jacksonville, FL 32256
Phone (904) 326-3627

1297 US Highway 27 N
Lake Placid, FL 33852
Phone (407) 276-5023

8254 118th Ave
Ste 100
Largo, FL 33773
Phone (727) 451-5304

4902 Bayshore Blvd
Tampa, FL 33611
Phone (813) 416-9814

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437238441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3141 LAKESTONE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336181120",
            "telephone_number": "813-758-7798",
            "fax_number": "813-960-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17551 N DALE MABRY",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "33548",
            "telephone_number": "813-758-7798",
            "fax_number": "813-960-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLE",
        "first_name": "KATHLEEN",
        "middle_name": "NOEMI",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT0011498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.