Individual provider Active NPI

Walter Remington Kimes, PTA

  • Physical Therapy Assistant
  • Gainesville, FL
National Provider Identifier
1689152027
Registry record updated Jul 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA28230 Issued in FL
Practice address
250 NW 76TH Dr
Gainesville, FL 32607-6668
Phone
(352) 505-6363
NPI assigned
Jul 29, 2018
Last updated
Jul 29, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA28230 FL Primary

Addresses

Primary practice location

250 NW 76TH Dr
Gainesville, FL 32607-6668

Mailing address

7200 SW 8TH Ave # E30
Gainesville, FL 32607-1888
Phone (352) 214-9543

Other practice location 1

3250 SW 41st Pl
Gainesville, FL 32608-2621
Phone (352) 378-1558

Other practice location 2

2800 SW 41st St
Ocala, FL 34474-4454
Phone (352) 873-7570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTA28230FLMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1532822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532822400000",
    "number": "1689152027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 SW 8TH AVE # E30",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326071888",
            "telephone_number": "352-214-9543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 NW 76TH DR",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326076668",
            "telephone_number": "352-505-6363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3250 SW 41st Pl",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326082621",
            "country_code": "US",
            "telephone_number": "352-378-1558",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2800 SW 41st St",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344744454",
            "country_code": "US",
            "telephone_number": "352-873-7570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIMES",
        "first_name": "WALTER",
        "middle_name": "REMINGTON",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-29",
        "last_updated": "2018-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA28230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2018; 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.