Active NPI
Kca Physical Therapy
- Physical Therapy Clinic/Center
- Niceville, FL
National Provider Identifier
1881383909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- KCA PHYSICAL THERAPY
- Practice address
- 1402 Cat Mar Rd Ste a
Niceville, FL 32578-8904 - Phone
- (262) 215-2963
- Fax
- (833) 869-6437
- NPI assigned
- May 4, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Allison Easterly
- Title
- Owner
- Phone
- (262) 215-2963
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
1402 Cat Mar Rd Ste a
Niceville, FL 32578-8904
Mailing address
4327 Sunset Beach Cir
Niceville, FL 32578-4820
Phone (262) 215-2963
National Provider Directory
National Provider DirectoryLocations
1402 Cat Mar Rd
Ste A
Niceville, FL 32578
Phone (262) 215-2963
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Niceville, FL
- NPI 1528795994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683158400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683158400000",
"number": "1881383909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4327 SUNSET BEACH CIR",
"city": "NICEVILLE",
"state": "FL",
"postal_code": "325784820",
"telephone_number": "262-215-2963",
"fax_number": "833-869-6437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1402 CAT MAR RD STE A",
"city": "NICEVILLE",
"state": "FL",
"postal_code": "325788904",
"telephone_number": "262-215-2963",
"fax_number": "833-869-6437"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KCA PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-04",
"last_updated": "2023-05-04",
"certification_date": "2023-05-04",
"status": "A",
"authorized_official_last_name": "EASTERLY",
"authorized_official_first_name": "ALLISON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "262-215-2963"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Niceville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.