Active NPI
Kayla Roberts, PTA
- Physical Therapy Assistant
- Plant City, FL
National Provider Identifier
1841229374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA 15649
- Practice address
- 214 W Alexander St
Plant City, FL 33563-7156 - Phone
- (813) 754-1509
- Fax
- (813) 754-7864
- NPI assigned
- Jun 30, 2006
- Sex
- Female
- Sole proprietor
- No
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 Therapy Assistant | 225200000X | PTA 15649 | FL | Primary |
Addresses
Primary practice location
214 W Alexander St
Plant City, FL 33563-7156
Mailing address
8118 Park Byrd Rd
Lakeland, FL 33810-4868
Phone (863) 815-7383
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA 15649 | FL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841229374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8118 PARK BYRD RD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338104868",
"telephone_number": "863-815-7383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 W ALEXANDER ST",
"city": "PLANT CITY",
"state": "FL",
"postal_code": "335637156",
"telephone_number": "813-754-1509",
"fax_number": "813-754-7864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "KAYLA",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA 15649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plant City, FL
Sources for this page
- 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.