Individual provider Active NPI

Kailey Anne Masters, DPT

  • Physical Therapist
  • Punta Gorda, FL
National Provider Identifier
1619708468
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT41898 Issued in FL
Practice address
100 Madrid Blvd Ste 212
Punta Gorda, FL 33950-7968
Phone
(941) 646-8510
Fax
(941) 218-5627
NPI assigned
Aug 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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 PT41898 FL Primary

Addresses

Primary practice location

100 Madrid Blvd Ste 212
Punta Gorda, FL 33950-7968

Mailing address

3650 N Access Rd
Englewood, FL 34224-8655
Phone (941) 460-3831

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260522000173 FL Practitioner - Physical Therapist in Private Practice 4587134358 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Therapy Florida LLCGroup PAC ID 5395091722, 24 clinicians

Practice addresses (Care Compare)

1499 E Venice Ave
Unit a
Venice, FL 34292-3207
Phone (941) 451-8657

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT41898FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Therapy Florida LLC CurrentSince Aug 18, 2024 Accepting new patients
Total Therapy Florida, LLC Physical Therapist CurrentSince Mar 15, 2026 Accepting new patients

Locations

3650 N Access Rd
Englewood, FL 34224
Phone (941) 460-3831

100 Madrid Blvd
Unit 212
Punta Gorda, FL 33950
Phone (941) 646-8510

Organizations & group practices 2

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": "1723507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1619708468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 N ACCESS RD",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342248655",
            "telephone_number": "941-460-3831",
            "fax_number": "941-460-3831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MADRID BLVD STE 212",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339507968",
            "telephone_number": "941-646-8510",
            "fax_number": "941-218-5627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTERS",
        "first_name": "KAILEY",
        "middle_name": "ANNE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT41898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Punta Gorda, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.

Verify at the official NPI Registry.