Kelly Ann Siragusa, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT18851 Issued in FL

Practice address

2706 Old Moultrie Rd
Saint Augustine, FL 32086-5447

Phone

(904) 794-6760

NPI assigned

Aug 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Body Works Studio Inc

  • Physical Therapy Clinic/Center
  • Neptune Beach, FL
  • NPI 1659564920

  Physical Therapist

  NPD (past)
• Bodywise Studios, Inc.

  • Physical Therapy Clinic/Center
  • St Augustine, FL
  • NPI 1023106127
  NPD (past)

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831204049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 OWL HOLLOW CT",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320925084",
            "telephone_number": "904-287-0169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2706 OLD MOULTRIE RD",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320865447",
            "telephone_number": "904-794-6760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRAGUSA",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT18851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Simusa
• Leslie Sinclair, MACCC/SLP,BCBA
• James Gregory Sindad, D.M.D.
• Shanta Warris Singh, D.D.S.
• Yougeeta P Singh
• Rebekah M Sireci, APRN, PMHNP-BC
• David Robert Skaggs
• Zoe Skirvin
• Craig Skorich, OTR/L, CAPS
• Skylar Hollabaugh Counseling

• Physical Therapist in Saint Augustine, FL
• Providers in Saint Augustine, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.