Kellie Dianne Geuting, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT28376 Issued in FL

Practice address

1954 Rockledge Blvd Ste 119
Rockledge, FL 32955-3761

Phone

(321) 433-1500

Fax

(321) 433-1556

NPI assigned

Jul 18, 2011

Last updated

Mar 27, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kellie Dianne Tappan Former name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sobe Innovative Rehabilitation PLLC

  • Physical Therapist
  • Miami, FL
  • NPI 1164800595
  Medicare reassignment NPD
• Strength and Balance Institute

  • Physical Therapist
  • Aventura, FL
  • NPI 1164077947
  NPD
• Easter Seals Delaware & Marylands Eastern Shore, Inc

  • Intellectual & Developmental Disabilities Psychologist
  • New Castle, DE
  • NPI 1437156635

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1518255157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1954 ROCKLEDGE BLVD STE 119",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553761",
            "telephone_number": "321-433-1500",
            "fax_number": "321-433-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1954 ROCKLEDGE BLVD STE 119",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553761",
            "telephone_number": "321-433-1500",
            "fax_number": "321-433-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEUTING",
        "first_name": "KELLIE",
        "middle_name": "DIANNE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-18",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "DE",
            "license": "J1-0002716",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT28376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLIE",
            "last_name": "TAPPAN",
            "middle_name": "DIANNE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gee Resolutions, Inc.
• Kelly Erin Geisinger, COTA
• Keith Sebastian Gelzinis, RPH
• George Idiculla MD,PA
• Brittany George, MSW
• Gi Associates of Brevard
• Taylor Roseanne Giambalvo, COTA/L
• Olivia Gibson
• Cassidy E Giles
• Hailey Gillis

• Physical Therapist in Rockledge, FL
• Providers in Rockledge, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.