Kaylee Claycomb
Individual provider Active NPI Physical Therapist · Summerfield, FL
NPI 1831668359 · NPPES record last updated Apr 30, 2019
Key facts
- NPI
- 1831668359
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT34132 (FL)
- Practice address
- 10969 SE 175TH PL
Summerfield, FL 34491-0902 - Phone
- (352) 347-8877
- NPI assigned
- Nov 14, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT34132 | FL | MD | Physical Therapist |
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT34132 | FL | Yes |
Addresses
Primary practice location
10969 SE 175TH PL
Summerfield, FL 34491-0902
Mailing address
8477 S Suncoast Blvd
Homosassa, FL 34446-5028
Phone (352) 382-1141
Other providers in Summerfield, FL
- Stephanie Declue Cesarec
- Chandelier Homemaker and Companion Services, Inc.
- Shahbaz Ali Cheema
- Michael D Chesner
- Randy W Clark
- Kathy Clevinger-Magin
- Brenda M Collins
- Comfort Care Medical Equipment & Uniforms, Inc
- Comfortable Care Dental Health Professionals, P.a.
- Alba R Cordero Sanz
All providers in Summerfield, FL · Physical Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.