Provider Demographics
NPI:1093233900
Name:KIMMETT, ZAK A (DPT)
Entity type:Individual
Prefix:
First Name:ZAK
Middle Name:A
Last Name:KIMMETT
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9079 BELCHER RD N
Mailing Address - Street 2:
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33782-4423
Mailing Address - Country:US
Mailing Address - Phone:727-616-0809
Mailing Address - Fax:727-290-4896
Practice Address - Street 1:9079 BELCHER RD N
Practice Address - Street 2:
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33782-4423
Practice Address - Country:US
Practice Address - Phone:727-616-0809
Practice Address - Fax:727-290-4896
Is Sole Proprietor?:No
Enumeration Date:2017-08-31
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPT11501225100000X
FLPT35378225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNPT11501OtherPT LICENSE