Active NPI
Kedna St Cyr, DPT
- Physical Therapist
- Ocoee, FL
National Provider Identifier
1609553304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT40401
- Practice address
- 8917 W Colonial Dr
Ocoee, FL 34761-6955 - Phone
- (407) 996-0345
- NPI assigned
- Jul 3, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT40401 | FL | Primary |
Addresses
Primary practice location
8917 W Colonial Dr
Ocoee, FL 34761-6955
Mailing address
5468 Lake Margaret Dr
Orlando, FL 32812-6164
Phone (561) 414-6394
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1841 S Oak Haven Cir
Miami, FL 33179-2833
Phone (917) 723-0687
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT40401 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Core Therapy Services and Medicine Inc | Physical Therapist | Current | Accepting new patients |
Locations
2003 Coney Island Ave
Brooklyn, NY 11223
Phone (347) 394-1600
Networks
- Freedom Health HMO Network
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": "1688342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715644800000",
"number": "1609553304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5468 LAKE MARGARET DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328126164",
"telephone_number": "561-414-6394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8917 W COLONIAL DR",
"city": "OCOEE",
"state": "FL",
"postal_code": "347616955",
"telephone_number": "407-996-0345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST CYR",
"first_name": "KEDNA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-03",
"last_updated": "2024-05-14",
"certification_date": "2024-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT40401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ocoee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.