Patricia Jean Killea, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 13672 Issued in CA

Practice address

Medical Service Corps Staff
Navy Medicine Support BLDG 2005
Jacksonville, FL 32212-0140

Phone

(904) 542-7200

Fax

(904) 542-7286

NPI assigned

Jan 23, 2006

Reactivated

Jan 9, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199836800000",
    "number": "1720058969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4948 34TH ROAD NORTH",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "22207",
            "telephone_number": "973-945-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEDICAL SERVICE CORPS STAFF",
            "address_2": "NAVY MEDICINE SUPPORT BLDG 2005",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322120140",
            "telephone_number": "904-542-7200",
            "fax_number": "904-542-7286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLEA",
        "first_name": "PATRICIA",
        "middle_name": "JEAN",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-23",
        "last_updated": "2008-01-09",
        "deactivation_date": "2007-07-17",
        "reactivation_date": "2008-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 13672",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01136300",
            "primary": false
        },
        {
            "code": "2251E1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": "CA",
            "license": "EN 31",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Kiley
• Rebecca Kilgore-Vohlken
• Manley W Kilgore II, M.D.
• John Wellesley Kilkenny III, M.D.
• Seanpatrick Andrew Kilker
• Sophie Killebrew
• Kelleigh Dawn Killen, RD
• Sophia Houston Killian, RRT
• John Richard Killinger, CRNA
• Jennifer Killingsworth

• Physical Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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.