Organization Active NPI

Quinn Physical Therapy P.a.

  • Physical Therapist
  • Destin, FL
National Provider Identifier
1093735573
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
QUINN PHYSICAL THERAPY P.A.
Practice address
623 Harbor Blvd
Suite # 5
Destin, FL 32541-2466
Phone
(850) 654-8588
Fax
(850) 654-8758
NPI assigned
Jul 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
John E Quinn, M.S.,P.T.NPI 1265455000
Title
President
Phone
(850) 654-8588

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

623 Harbor Blvd
Suite # 5
Destin, FL 32541-2466

Mailing address

623 Harbor Blvd
Suite # 5
Destin, FL 32541-2466
Phone (850) 654-8588

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040504001314 FL Part B Supplier - Clinic/Group Practice 7911995329 Receives reassigned benefits from 1 practitioner
Practice locations: Destin, FL

National Provider Directory

National Provider Directory

Locations

623 Harbor Blvd
Destin, FL 32541

623 Highway 98 E
Ste 5
Destin, FL 32541
Phone (850) 621-4375

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": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093735573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 HARBOR BLVD",
            "address_2": "SUITE # 5",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325412466",
            "telephone_number": "850-654-8588",
            "fax_number": "850-654-8758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 HARBOR BLVD",
            "address_2": "SUITE # 5",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325412466",
            "telephone_number": "850-654-8588",
            "fax_number": "850-654-8758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINN PHYSICAL THERAPY P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "QUINN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-654-8588",
        "authorized_official_credential": "M.S.,P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Destin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.