Active NPI
Kathryn Wilson, P.T.
- Physical Therapist
- Sarasota, FL
National Provider Identifier
1801922778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT18431
- Practice address
- 40 Sarasota Center Blvd Ste F103
Sarasota, FL 34240-9713 - Phone
- (941) 479-9894
- NPI assigned
- Feb 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT18431 | FL | Primary |
Addresses
Primary practice location
40 Sarasota Center Blvd Ste F103
Sarasota, FL 34240-9713
Mailing address
PO Box 15301
Sarasota, FL 34277-1301
Phone (941) 402-5827
Other practice location 1
751 17th Ave S
Saint Petersburg, FL 33701-5713
Phone (727) 709-1041
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 886990100 | Medicaid | FL |
Other names 1
- Kathryn Yearsley
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT18431 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Physical Therapy of Venice Inc | Physical Therapist | Past | Accepting new patients |
| Helping Children Shine Inc. | Physical Therapist | Past | Accepting new patients |
| Advanced Physical Therapy of Palmetto Inc | Physical Therapist | Past | Accepting new patients |
| Lampert'S Home Therapy, Inc. | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Physical Therapist
- Palmetto, FL
- NPI 1952476400
-
- Physical Therapist
- Venice, FL
- NPI 1902971427
-
- Physical Therapist
- Saint Petersburg, FL
- NPI 1194852905
-
- Occupational Therapist
- Largo, FL
- NPI 1265441810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622160000000",
"number": "1801922778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15301",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342771301",
"telephone_number": "941-402-5827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 SARASOTA CENTER BLVD STE F103",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342409713",
"telephone_number": "941-479-9894"
}
],
"practiceLocations": [
{
"address_1": "751 17th Ave S",
"address_purpose": "LOCATION",
"city": "Saint Petersburg",
"state": "FL",
"postal_code": "337015713",
"country_code": "US",
"telephone_number": "727-709-1041",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILSON",
"first_name": "KATHRYN",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-26",
"last_updated": "2021-05-28",
"certification_date": "2021-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT18431",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "886990100",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATHRYN",
"last_name": "YEARSLEY",
"credential": "P.T.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.