Organization Active NPI

Kca Physical Therapy

  • Physical Therapy Clinic/Center
  • Niceville, FL
National Provider Identifier
1881383909
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
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

Updated by the provider on May 4, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Allison EasterlyNPI 1528795994
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.