Individual provider Active NPI

Katie Roundtree

  • Physical Therapist
  • Palm Beach, FL
National Provider Identifier
1871003871
Registry record updated Oct 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
32889 Issued in FL
Practice address
2875 S Ocean Blvd Ste 105
Palm Beach, FL 33480-5591
Phone
(561) 533-9833
NPI assigned
Oct 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2017

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 32889 FL Primary

Addresses

Primary practice location

2875 S Ocean Blvd Ste 105
Palm Beach, FL 33480-5591

Mailing address

3475 S Ocean Blvd Apt 112
Palm Beach, FL 33480-5947

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180320003181 FL Practitioner - Physical Therapist in Private Practice 7911269469 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32889FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Abati LLC. Physical Therapist CurrentSince Jun 1, 2021 Accepting new patients
Florida Luna Care Physical Therapy LLC Physical Therapist CurrentSince Oct 4, 2022 Accepting new patients
Physical Therapy Now Holdings, LLC Physical Therapist Past Accepting new patients

Locations

5011 Gate Pkwy
Ste 100
Jacksonville, FL 32256
Phone (904) 326-3627

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

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": "1507075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507075200000",
    "number": "1871003871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3475 S OCEAN BLVD APT 112",
            "city": "PALM BEACH",
            "state": "FL",
            "postal_code": "334805947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2875 S OCEAN BLVD STE 105",
            "city": "PALM BEACH",
            "state": "FL",
            "postal_code": "334805591",
            "telephone_number": "561-533-9833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUNDTREE",
        "first_name": "KATIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-04",
        "last_updated": "2017-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "32889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.