Individual provider Active NPI

Kylie Eckert, DPT

  • Physical Therapist
  • Tampa, FL
National Provider Identifier
1679189773
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT35852 Issued in FL
Practice address
12705 Race Track Rd
Tampa, FL 33626-1314
Phone
(813) 343-3960
NPI assigned
Sep 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 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 PT35852 FL Primary

Addresses

Primary practice location

12705 Race Track Rd
Tampa, FL 33626-1314

Mailing address

8718 Hickorywood LN
Tampa, FL 33615-4418
Phone (603) 545-8996

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201112002874 FL Practitioner - Physical Therapist in Private Practice 0345650750 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT35852FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Visitry Florida LLC Physical Therapist CurrentSince Jul 18, 2024 Accepting new patients
Westchase Physical Therapy and Medical Supply LLC Physical Therapist CurrentSince Jan 1, 2021 Accepting new patients
Westchase Physical Therapy and Medical Supply LLC Physical Therapist CurrentSince Jan 1, 2021 Accepting new patients

Locations

802 E Whiting St
Tampa, FL 33602
Phone (716) 523-1783

12625 Race Track Rd
Westchase, FL 33626
Phone (813) 343-3960

12705 Race Track Rd
Westchase, FL 33626
Phone (813) 343-3960

Organizations & group practices 3

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": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1679189773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8718 HICKORYWOOD LN",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336154418",
            "telephone_number": "603-545-8996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12705 RACE TRACK RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261314",
            "telephone_number": "813-343-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKERT",
        "first_name": "KYLIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-23",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT35852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.