Individual provider Active NPI

Kalaisenthil Kalaimani

  • Physical Therapist
  • Newberry, FL
National Provider Identifier
1841791407
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT38508 Issued in FL
Practice address
1280 NW 133Rd Way
Newberry, FL 32669-0466
Phone
(810) 877-3447
NPI assigned
Feb 27, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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 PT38508 FL Primary

Addresses

Primary practice location

1280 NW 133Rd Way
Newberry, FL 32669-0466

Mailing address

1280 NW 133Rd Way
Newberry, FL 32669-0466
Phone (810) 877-3447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260105000717 FL Practitioner - Physical Therapist in Private Practice 2961863196 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Rehab and Wellness, PLLCGroup PAC ID 4082100607, 2 clinicians

Practice addresses (Care Compare)

1280 NW 133Rd Way
Newberry, FL 32669-0466
Phone (352) 663-9988

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT38508FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Rehab and Wellness, PLLC Physical Therapist CurrentSince Nov 25, 2025 Accepting new patients
Innovation Home Health Care LLC CurrentSince Oct 25, 2022 Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Innovation Home Health Care LLCGainesville, FL, CCN 687304 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Corporate Director (100%)
W-2 Managing Employee (100%)
Operational/Managerial Control (100%)
Oct 25, 2022
Oct 25, 2022
Oct 25, 2022
Oct 25, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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": "1519689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1841791407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 NW 133RD WAY",
            "city": "NEWBERRY",
            "state": "FL",
            "postal_code": "326690466",
            "telephone_number": "810-877-3447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 NW 133RD WAY",
            "city": "NEWBERRY",
            "state": "FL",
            "postal_code": "326690466",
            "telephone_number": "810-877-3447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALAIMANI",
        "first_name": "KALAISENTHIL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-27",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT38508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newberry, FL

Sources for this page

Verify at the official NPI Registry.