Kerline Dimanche

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

23434 Issued in FL

Practice address

461 SE Lancaster Aveune
Port Saint Lucie, FL 34984

Phone

(772) 285-7529

NPI assigned

Nov 20, 2012

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353369600000",
    "number": "1518201136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 SE LANCASTER AVE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349844770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 SE LANCASTER AVEUNE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "34984",
            "telephone_number": "772-285-7529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMANCHE",
        "first_name": "KERLINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-20",
        "last_updated": "2012-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "23434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Alejandro Diaz, PA-C
• Kurtis Antonio Dickson, PA-C
• Kevin V Diep, DMD
• Paul Joesph Digirolamo
• Nicolette Francesca Digregorio, PA-C
• Sarah Dimatteo, NBC-WHC
• Hendrik Dinkla, ME53372
• Cathy Dionisio, APRN
• Divine Health Concepts LLC
• Divinebysha

• Physical Therapy Assistant in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; 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.