Individual provider Active NPI

Christine Kilpatrick, PT

  • Physical Therapist
  • Fort Myers, FL
National Provider Identifier
1578636684
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT18827 Issued in FL
Practice address
9371 Cypress Lake Dr
Suite 20
Fort Myers, FL 33919-4939
Phone
(239) 415-2595
Fax
(239) 415-2597
NPI assigned
Nov 16, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT18827 FL Primary

Addresses

Primary practice location

9371 Cypress Lake Dr
Suite 20
Fort Myers, FL 33919-4939

Mailing address

9371 Cypress Lake Dr
Suite 20
Fort Myers, FL 33919-4939
Phone (239) 415-2595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050713000072 FL Practitioner - Physical Therapist in Private Practice 4082640842 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Florida Mobile Therapy, Inc. Physical Therapist CurrentSince Nov 15, 2024 Accepting new patients

Locations

6839 Porto Fino Cir
Fort Myers, FL 33912
Phone (239) 494-3147

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578636684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9371 CYPRESS LAKE DR",
            "address_2": "SUITE 20",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339194939",
            "telephone_number": "239-415-2595",
            "fax_number": "239-415-2597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9371 CYPRESS LAKE DR",
            "address_2": "SUITE 20",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339194939",
            "telephone_number": "239-415-2595",
            "fax_number": "239-415-2597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILPATRICK",
        "first_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT18827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.