Kimberly Pauley Meagher, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT35197 Issued in FL

Practice address

4406 S Florida Ave Ste 16
Lakeland, FL 33813-2182

Phone

(863) 688-1800

Fax

(636) 881-8248

NPI assigned

Jun 22, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kimberly Pauley Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: kimberly.meagher.1@19661.direct.athenahealth.com

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

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1780179721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4406 S FLORIDA AVE STE 16",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132182",
            "telephone_number": "636-881-8008",
            "fax_number": "863-688-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4406 S FLORIDA AVE STE 16",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132182",
            "telephone_number": "863-688-1800",
            "fax_number": "636-881-8248"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20823 Stevens Creek Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Cupertino",
            "state": "CA",
            "postal_code": "950142112",
            "country_code": "US",
            "telephone_number": "408-252-6076",
            "fax_number": "408-252-1159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEAGHER",
        "first_name": "KIMBERLY",
        "middle_name": "PAULEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-22",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT35197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kimm@leptclinics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4406 S Florida Ave Ste 16",
            "city": "Lakeland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338132182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "PAULEY",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mda Angel'S Adult Day Care Center, Inc
• MDD Dental, Inc
• MDM of Lakeland PA
• Lacey Mead, DO
• Tonia M Meadows, COTA
• Kelli Rae Meaney, DNP, NP-C
• Michelle Means, LCSW
• Alexandria Lindsay Mears, PA
• Jacob Matthew Mearse, DNP, CNM, PMHNP
• Desiree Coa Meaton-Francisco, LMHC MH12373

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.