Panhandle Pediatric Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PANHANDLE PEDIATRIC THERAPY LLC

Practice address

709 7TH St Ste 2
Chipley, FL 32428-1940

Phone

(850) 260-8903

NPI assigned

Aug 17, 2026

Last updated

Aug 17, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Madison PembertonNPI 1003486648

Title

Owner/Physical Therapist

Phone

(850) 260-8903

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Madison Carter Pemberton, PT, DPT

  • Pediatric Physical Therapist
  • Dothan, AL
  • NPI 1003486648
  NPD (past) Authorized official

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

{
    "created_epoch": "1786924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1124933031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 HIGHWAY 77",
            "city": "CHIPLEY",
            "state": "FL",
            "postal_code": "324285769",
            "telephone_number": "850-260-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 7TH ST STE 2",
            "city": "CHIPLEY",
            "state": "FL",
            "postal_code": "324281940",
            "telephone_number": "850-260-8903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANHANDLE PEDIATRIC THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-17",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-16",
        "status": "A",
        "authorized_official_last_name": "PEMBERTON",
        "authorized_official_first_name": "MADISON",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "850-260-8903"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• P&G Medicine, LLC
• Pancare of Florida, Inc (PanCare Rx Chipley)
• Pancare of Florida, Inc
• Panhandle Family Medicine PA
• Panhandle Family Medicine, PA
• Diviya Sampatrai Patel, PHARMD
• Chad Pomes
• Annette Griffin Porter, M.D.
• Precision Eye Care LTD
• Alesha Patton Pridgen

• Physical Therapist in Chipley, FL
• Providers in Chipley, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.