Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kaitlin Lacey

Individual provider Physical Therapist · NPI 1710862511

Kaitlin Lacey is a Physical Therapist in Private Practice in Port Charlotte, Florida. Qualified in 2025, 1 year ago. Practices with Physiotherapy Associates Inc, a 1,458-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2025
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Practice location Address checks out

1940 Tamiami Trl Ste 104
Port Charlotte, FL 33948-2105
Phone: (941) 883-0083
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT43573 (FL)

Record details

NPI number1710862511
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 11, 2025
Last updated in NPPESAugust 18, 2025
Certification dateAugust 18, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Physiotherapy Associates Inc — 1458 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Port Charlotte