Individual provider Active NPI

Allison Easterly, DPT

  • Physical Therapist
  • Niceville, FL
National Provider Identifier
1528795994
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT39070 Issued in FL
Practice address
1402 Cat Mar Rd Ste a
Niceville, FL 32578-8904
Phone
(262) 215-2963
Fax
(833) 869-6437
NPI assigned
Aug 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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 PT39070 FL Primary

Addresses

Primary practice location

1402 Cat Mar Rd Ste a
Niceville, FL 32578-8904

Mailing address

4327 Sunset Beach Cir
Niceville, FL 32578-4820
Phone (262) 215-2963

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kca Physical Therapy CurrentSince May 7, 2023 Accepting new patients

Locations

1402 Cat Mar Rd
Ste A
Niceville, FL 32578
Phone (262) 215-2963

Organizations & group practices 1

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": "1659571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1528795994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4327 SUNSET BEACH CIR",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325784820",
            "telephone_number": "262-215-2963",
            "fax_number": "833-869-6437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 CAT MAR RD STE A",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325788904",
            "telephone_number": "262-215-2963",
            "fax_number": "833-869-6437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTERLY",
        "first_name": "ALLISON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-04",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT39070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niceville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.