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

Kiley Ethridge

Individual provider Physical Therapist · NPI 1922964345

Kiley Ethridge is a Physical Therapist in Private Practice in Pensacola, Florida. Graduated from University of South Alabama College of Medicine in 2019, 7 years ago. Practices with Action Therapy Group LLC, a 67-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alabama and Florida.

Years since qualifying
7
Trained at
University of South Alabama College of Medicine
Licensed in
AL, FL
In the registry since
2025
Specialties on file
2

Practice location Address checks out

7830 Pine Forest Rd
Pensacola, FL 32526-8404
Phone: (850) 941-5000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2310 Abbie Ln, Pensacola, FL 32514-5983 — (850) 505-0111

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT44201 (FL)
Physical Therapist Taxonomy 225100000X · Licence PT9469 (AL)

Record details

NPI number1922964345
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 30, 2025
Last updated in NPPESDecember 30, 2025
Certification dateDecember 30, 2025
Mailing address21 Caisson Trce, Spanish Fort, AL 36527-3101

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Action Therapy Group Llc — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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