Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Kalie Rehabilitation Medicine LLC

Organization Physical Medicine & Rehabilitation Physician · NPI 1053090043

Kalie Rehabilitation Medicine LLC provides Physical Medicine & Rehabilitation Physician services in Ponte Vedra, Florida. Works from 2 locations. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

90 Kenmore Ave
Ponte Vedra, FL 32081-0100
Phone: (330) 465-3587
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 425 Town Plaza Ave, Ponte Vedra, FL 32081-5164 — (330) 465-3587

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X

Record details

NPI number1053090043
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Blake Kalie — President · (330) 465-3587
NPI enumeratedJuly 17, 2023
Last updated in NPPESSeptember 23, 2026
Certification dateSeptember 23, 2026
Mailing address425 Town Plaza Ave, Ponte Vedra, FL 32081-5164

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