Organization Active NPI

Healing You Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Fort Walton Beach, FL
National Provider Identifier
1043665748
Registry record updated Apr 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT7404 Issued in FL
Legal business name
HEALING YOU THERAPY, PLLC
Practice address
417 Racetrack Rd NW
Fort Walton Beach, FL 32547-4612
Phone
(850) 461-0058
NPI assigned
Apr 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2016

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

Authorized official

Name
William Kelley, P.T.NPI 1720285067
Title
Owner
Phone
(850) 461-0058

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT7404 FL Primary

Addresses

Primary practice location

417 Racetrack Rd NW
Fort Walton Beach, FL 32547-4612

Mailing address

7808 Fenwick St
Navarre, FL 32566-2702
Phone (850) 461-0058

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161115000815 FL Part B Supplier - Clinic/Group Practice 9830478809 Receives reassigned benefits from 1 practitioner
Practice locations: Navarre, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461974400000",
    "number": "1043665748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7808 FENWICK ST",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325662702",
            "telephone_number": "850-461-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 RACETRACK RD NW",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325474612",
            "telephone_number": "850-461-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING YOU THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-30",
        "last_updated": "2016-04-30",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-461-0058",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT7404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.