Individual provider Active NPI

Kristin Campbell Searcy, DPT

  • Physical Therapist
  • Madison, FL
National Provider Identifier
1730635004
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTT31477 Issued in FL
Practice address
235 SW Dade St Ste B
Madison, FL 32340-2363
Phone
(850) 973-2929
Fax
(850) 973-3939
NPI assigned
Aug 28, 2016
Last updated
Jan 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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 PTT31477 FL Primary

Addresses

Primary practice location

235 SW Dade St Ste B
Madison, FL 32340-2363

Mailing address

2881 NE Old Blue Springs Rd
Lee, FL 32059-4539
Phone (850) 464-0594

Other practice location 1

257 SW Dade St
Madison, FL 32340-2361
Phone (850) 973-3316

Other identifiers 2

IdentifierTypeStateIssuer
018885600MedicaidFL
PT 31477OtherFLSTATE PHYSICAL THERAPY LICENSE

Other names 1

  • Dr. Kristin Elizabeth Campbell Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191022000830 FL Practitioner - Physical Therapist in Private Practice 0143556365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

235 SW Dade St
Suite B
Madison, FL 32340-2363
Phone (850) 973-2929

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTT31477FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Madison Therapy & Wellness PLLC Physical Therapist CurrentSince Aug 8, 2019 Accepting new patients
Tallahassee Orthopedic & Sports Physical Therapy Physical Therapist Past Accepting new patients

Locations

235 SW Dade St
Ste B
Madison, FL 32340
Phone (850) 973-2929

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1730635004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2881 NE OLD BLUE SPRINGS RD",
            "city": "LEE",
            "state": "FL",
            "postal_code": "320594539",
            "telephone_number": "850-464-0594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 SW DADE ST STE B",
            "city": "MADISON",
            "state": "FL",
            "postal_code": "323402363",
            "telephone_number": "850-973-2929",
            "fax_number": "850-973-3939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "257 SW Dade St",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "FL",
            "postal_code": "323402361",
            "country_code": "US",
            "telephone_number": "850-973-3316",
            "fax_number": "850-973-1261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEARCY",
        "first_name": "KRISTIN",
        "middle_name": "CAMPBELL",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2023-01-18",
        "certification_date": "2022-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PTT31477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018885600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHYSICAL THERAPY LICENSE",
            "identifier": "PT 31477",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "CAMPBELL",
            "middle_name": "ELIZABETH",
            "prefix": "DR.",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Madison, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.