Meghan E Kettles, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT27640 Issued in FL

Practice address

12961 N Main St
Suite 201 & 202
Jacksonville, FL 32218-2769

Phone

(904) 757-2474

Fax

(904) 757-5541

NPI assigned

Nov 15, 2012

Last updated

Nov 15, 2012By 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

Not listed in the public Medicare enrollment file

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.

• Jacksonville Orthopaedic Institute Inc

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1154581379
  NPD (past)

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1568706406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 SAN MARCO BLVD",
            "address_2": "SUITE 102",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078568",
            "telephone_number": "904-858-7045",
            "fax_number": "904-858-7047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12961 N MAIN ST",
            "address_2": "SUITE 201 & 202",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322182769",
            "telephone_number": "904-757-2474",
            "fax_number": "904-757-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETTLES",
        "first_name": "MEGHAN",
        "middle_name": "E",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT27640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Carmen Kesti
• Ketamine Wellness Centers Jacksonville (Ketamine Wellness Centers)
• Mekie Ketchaku
• Lauren Kaye Ketchie, LCSW
• Kathryn Leigh Kettler, PHARMD
• Robert G Kettrick, MD
• Arpitha Kumar Ketty, M.D.
• Kevin Kinney, DC, LLC (Culture Chiropractic & Wellness)
• Kevin M McAuliffe MD PA
• Kevin W Snyder DDS, PA (Harbour Dental Care)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.