Active NPI
Kaitlyn Nicolle Wasson, DPT
- Physical Therapist
- Palm Harbor, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 4705 Alt 19 Ste a
Palm Harbor, FL 34683-1424 - Phone
- (727) 781-3550
- Fax
- (727) 781-3450
- NPI assigned
- Aug 11, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
4705 Alt 19 Ste a
Palm Harbor, FL 34683-1424
Mailing address
10754 Lakewood Shores Cir
North Fort Myers, FL 33903-6600
Phone (412) 720-3968
Other practice location 1
530 E Olympia Ave # 112
Punta Gorda, FL 33950-3838
Phone (941) 575-7300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 Tamiami TRL S
Suite 210
Venice, FL 34285-2626
Phone 87746937782004
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fitness Quest - Venice LLC | Physical Therapist | Current | Accepting new patients |
| Fq0016, LLC | Physical Therapist | Current | Accepting new patients |
| Florida Strong Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Fq0014 | Physical Therapist | Current | Accepting new patients |
| Fitness Quest-Port Charlotte LLC | Physical Therapist | Current | Accepting new patients |
| Fitness Quest - Venice LLC | Current | Accepting new patients | |
| Fitness Quest West Villages, LLC | Current | Accepting new patients | |
| Fitness Quest - Bradenton LLC | Current | Accepting new patients | |
| Fitness Quest - Punta Gorda LLC | Physical Therapist | Current | Accepting new patients |
Locations
3657 Cortez Rd W
Ste 110
Bradenton, FL 34210
Phone (941) 361-9020
2828 S McCall Rd
Ste 25
Englewood, FL 34224
Phone (941) 460-6174
11930 Fairway Lakes Dr
Fort Myers, FL 33913
Phone (239) 687-3224
11930 Fairway Lakes Dr
Ste 103104
Fort Myers, FL 33913
Phone (239) 687-3224
18900 N Tamiami Trl
Ste A5
North Ft Myers, FL 33903
Phone (239) 451-4922
11045 Tamiami Trl S
North Port, FL 34287
Phone (877) 469-3778
3479 Precision Dr
Ste 115
North Venice, FL 34275
Phone (941) 275-6377
1649 Tamiami Trl
Ste 1A
Pt Charlotte, FL 33948
Phone (941) 743-6700
530 E Olympia Ave
#112
Punta Gorda, FL 33950
Phone (941) 575-7300
530 E Olympia Ave
Ste 112
Punta Gorda, FL 33950
Phone (941) 575-7300
400 Tamiami Trl S
Ste 210
Venice, FL 34285
Phone (877) 469-3778
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 9
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.
-
- Physical Therapy Clinic/Center
- Lakewood Ranch, FL
- NPI 1033129895
Physical Therapist
-
- Physical Therapy Clinic/Center
- Englewood, FL
- NPI 1528219631
-
- Physical Therapy Clinic/Center
- Punta Gorda, FL
- NPI 1043220817
Physical Therapist
-
- Physical Therapy Clinic/Center
- Port Charlotte, FL
- NPI 1679761696
Physical Therapist
-
- Physical Therapist
- Sunrise, FL
- NPI 1174270771
-
- Durable Medical Equipment & Medical Supplies
- Longboat Key, FL
- NPI 1427936889
-
- Physical Therapy Clinic/Center
- North Venice, FL
- NPI 1760036438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746576000000",
"number": "1891306098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10754 LAKEWOOD SHORES CIR",
"city": "NORTH FORT MYERS",
"state": "FL",
"postal_code": "339036600",
"telephone_number": "412-720-3968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4705 ALT 19 STE A",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346831424",
"telephone_number": "727-781-3550",
"fax_number": "727-781-3450"
}
],
"practiceLocations": [
{
"address_1": "530 E Olympia Ave # 112",
"address_purpose": "LOCATION",
"city": "Punta Gorda",
"state": "FL",
"postal_code": "339503838",
"country_code": "US",
"telephone_number": "941-575-7300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WASSON",
"first_name": "KAITLYN",
"middle_name": "NICOLLE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-11",
"last_updated": "2025-05-07",
"certification_date": "2025-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Harbor, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.