Kurt Kinkaide Hubbard, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

122568 Issued in FL

Practice address

1 University Blvd
St Augustine, FL 32086-5799

Phone

(904) 826-0084

NPI assigned

Oct 24, 2007

Sex

Male

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

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.

• First Coast Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • St Augustine, FL
  • NPI 1003823709

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193184000000",
    "number": "1457530602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 PADOLA RD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320920490",
            "telephone_number": "904-940-1308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY BLVD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865799",
            "telephone_number": "904-826-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "KURT",
        "middle_name": "KINKAIDE",
        "name_prefix": "Dr.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-24",
        "last_updated": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "122568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald J Howes, CRNA
• Annelise Howick
• Michael Chang-CHI Hsu, M.D.
• Juchi Huang
• Qixia Huang, M.D.
• Laura Anne Hubbell, RDN, LDN, NBC-HWC
• Greta Huber
• Ronald Hucke, DDS
• Andrew Hunter Hudson, PT, DPT
• Catherine Hudson, PHARMD

• Occupational Therapist in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.