Kimberly Ellen Thomas, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA26471 Issued in FL

Practice address

8733 W Yulee Dr
Homosassa, FL 34448-4222

Phone

(352) 464-8627

NPI assigned

May 15, 2018

Last updated

May 15, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1871083873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8527 N BRIARPATCH AVE",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344288610",
            "telephone_number": "352-201-1851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8733 W YULEE DR",
            "city": "HOMOSASSA",
            "state": "FL",
            "postal_code": "344484222",
            "telephone_number": "352-464-8627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KIMBERLY",
        "middle_name": "ELLEN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-15",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA26471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kama Taylor-Nathan, COTA
• Peter Taylor
• Ted Slone,LLC (Sugarmill Care Center)
• Charles D. Thomas, D.M.D.
• Eyda F Thomas, PHARM D
• Samuel Keith Thomas
• Roger Allen Throneburg Sr., B.C.H.A.S.
• Roderick Timoteo
• Tina House of Healing Home Care
• TLC Rehab, LLC

• Physical Therapy Assistant in Homosassa, FL
• Providers in Homosassa, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; 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.