Individual provider Active NPI

Kathryn Wilson, P.T.

  • Physical Therapist
  • Sarasota, FL
National Provider Identifier
1801922778
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT18431 Issued in FL
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

Updated by the provider on May 28, 2021

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 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

IdentifierTypeStateIssuer
886990100MedicaidFL

Other names 1

  • Kathryn Yearsley Former name

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

LicenseStateTypeSpecialty
PT18431FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Physical Therapy of Venice Inc Physical Therapist PastSince Aug 4, 2023 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.

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.

Verify at the official NPI Registry.