Individual provider Active NPI

Keiko Camille Legaspi Cruz, PT

  • Physical Therapist
  • West Palm Beach, FL
National Provider Identifier
1982173241
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT34213 Issued in FL
Practice address
1773 Abbey Rd
West Palm Beach, FL 33415-5643
Phone
(561) 699-6859
NPI assigned
Nov 15, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT34213 FL Primary

Addresses

Primary practice location

1773 Abbey Rd
West Palm Beach, FL 33415-5643

Mailing address

1773 Abbey Rd
West Palm Beach, FL 33415-5643
Phone (561) 699-6859

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251118002461 FL Practitioner - Physical Therapist in Private Practice 4688165590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
One Faith Therapy Inc.Group PAC ID 8628579844, 5 clinicians

Practice addresses (Care Compare)

240 NW Peacock Blvd
Suite 104
Port Saint Lucie, FL 34986-2274
Phone (561) 344-8254

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT34213FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
One Faith Therapy Inc. Physical Therapist CurrentSince Nov 11, 2025 Accepting new patients
Ultimate Care Inc. Past Accepting new patients

Locations

240 NW Peacock Blvd
Ste 104
Port Saint Lucie, FL 34986
Phone (561) 344-8254

Organizations & group practices 2

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": "1542240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1982173241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1773 ABBEY RD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334155643",
            "telephone_number": "561-699-6859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1773 ABBEY RD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334155643",
            "telephone_number": "561-699-6859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "KEIKO CAMILLE",
        "middle_name": "LEGASPI",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-15",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT34213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.

Verify at the official NPI Registry.