Kimberly Dos Santos

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT35245 Issued in FL

Practice address

80 Riverview BND S Unit 811
Palm Coast, FL 32137-6584

Phone

(386) 222-3224

Fax

(386) 382-3984

NPI assigned

Nov 27, 2019

Last updated

May 25, 2022By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Thrive PT & Wellness LLC

  • Physical Therapist
  • Palm Coast, FL
  • NPI 1275109464
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1574812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1538706387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 RIVERVIEW BND S UNIT 811",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321376584",
            "telephone_number": "386-315-9455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 RIVERVIEW BND S UNIT 811",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321376584",
            "telephone_number": "386-222-3224",
            "fax_number": "386-382-3984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOS SANTOS",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-27",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT35245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kacia Doris, LCSW
• Matthew Dorman, MD
• Shaquiara L Dormevil, RBT
• Jamaris Dornan
• William Padge Dorne
• Jilann B Doucette, RD, LDN
• Sharon Marcia Douglas
• Taylor Brooks Douglas, RBT
• Georgia Naria Downes
• Tracy Morrow Downing

• Physical Therapist in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.