Individual provider Active NPI

Jessica Kallinger, D.P.T.

  • Pediatric Physical Therapist
  • Ocoee, FL
National Provider Identifier
1952851826
Registry record updated Oct 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
PT30487 Issued in FL
Practice address
2438 Orsota Cir
Ocoee, FL 34761-5002
Phone
(407) 654-0026
Fax
(407) 654-2945
NPI assigned
Oct 4, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X PT30487 FL Primary

Addresses

Primary practice location

2438 Orsota Cir
Ocoee, FL 34761-5002

Mailing address

2438 Orsota Cir
Ocoee, FL 34761-5002
Phone (407) 654-0026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT30487FLMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Play Able Corporation Pediatrics Past Accepting new patients

Organizations & group practices 1

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": "1475539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475539200000",
    "number": "1952851826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2438 ORSOTA CIR",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347615002",
            "telephone_number": "407-654-0026",
            "fax_number": "407-654-2945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2438 ORSOTA CIR",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347615002",
            "telephone_number": "407-654-0026",
            "fax_number": "407-654-2945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALLINGER",
        "first_name": "JESSICA",
        "credential": "D.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-04",
        "last_updated": "2016-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "FL",
            "license": "PT30487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocoee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; 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.