Primetime Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PRIMETIME PHYSICAL THERAPY LLC

Practice address

1578 Venice Ave
Fort Walton Beach, FL 32547-5739

Phone

(850) 862-1999

Fax

(850) 862-1999

NPI assigned

Feb 16, 2011

Organization subpart

No

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

Authorized official

Name

Cory M Scott, P.T.NPI 1023349040

Title

President

Phone

(850) 862-1999

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 7

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

• Cory Marcus Scott, P.T.

  • Physical Therapist
  • Niceville, FL
  • NPI 1023349040
  Medicare reassignment Authorized official
• Deallen Dexter Hobbs, DPT

  • Physical Therapist
  • Ft. Walton Beach, FL
  • NPI 1104638675
  NPD (past)
• Rochelle Kandler

  • Physical Therapist
  • Niceville, FL
  • NPI 1194362921
  NPD (past)
• Jeannette McAllister, PT

  • Physical Therapist
  • Fort Walton Beach, FL
  • NPI 1669255923
  NPD (past)
• Grace Anna Strickland

  • Physical Therapist
  • Niceville, FL
  • NPI 1265928816
  NPD (past)
• Shannon Nicole Towne, PT, DPT

  • Physical Therapist
  • Fort Walton Beach, FL
  • NPI 1811770175
  NPD (past)
• Miah Edmonds-Culpepper, DPT

  • Physical Therapist
  • Amory, MS
  • NPI 1497538755
  NPD (past)

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

{
    "created_epoch": "1297814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303084800000",
    "number": "1083911754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1578 VENICE AVE",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325475739",
            "telephone_number": "850-862-1999",
            "fax_number": "850-862-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1578 VENICE AVE",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325475739",
            "telephone_number": "850-862-1999",
            "fax_number": "850-862-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMETIME PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-16",
        "last_updated": "2011-04-18",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "CORY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-862-1999",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane A Pratt
• Price Health Centers P.a.
• Sean Lee Price, D.C.
• Angelina Virginia Prieto
• Nadia R Prieto
• Prince Properties
• Pro Vita Physical Therapy LLC
• Professional Health Care Services Inc
• Progressive Health Clinic, LLC
• Jennifer Lee Pruitt, APRN

• Physical Therapy Clinic/Center in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2011; 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.