Individual provider Active NPI

Stephen P Peaden, P.T.

  • Physical Therapist
  • Panama City, FL
National Provider Identifier
1164423356
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19638 Issued in FL
Practice address
306 E 19TH St Ste a
Panama City, FL 32405-4743
Phone
(850) 248-0241
Fax
(850) 248-0237
NPI assigned
Aug 10, 2005
Last updated
Sep 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 19638 FL Primary

Addresses

Primary practice location

306 E 19TH St Ste a
Panama City, FL 32405-4743

Mailing address

306 E 19TH St Ste a
Panama City, FL 32405-4743
Phone (850) 248-0241

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090408000312 FL Practitioner - Physical Therapist in Private Practice 1355355249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peaden Physical Therapy PLLCGroup PAC ID 9537437728, 2 clinicians

Practice addresses (Care Compare)

306 E 19TH St
Suite a
Panama City, FL 32405-4718
Phone (850) 248-0241

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19638FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peaden Physical Therapy, PLLC Physical Therapist CurrentSince Apr 17, 2017 Accepting new patients
Hypermed, LLC Past Accepting new patients

Locations

3009 Highway 77
Ste G
Panama City, FL 32405
Phone (850) 248-0241

3009 Highway 77
Ste O
Panama City, FL 32405
Phone (850) 248-0241

306 E 19th St
Ste A
Panama City, FL 32405
Phone (850) 248-0241

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1164423356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 E 19TH ST STE A",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054743",
            "telephone_number": "850-248-0241",
            "fax_number": "850-248-0237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 E 19TH ST STE A",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054743",
            "telephone_number": "850-248-0241",
            "fax_number": "850-248-0237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEADEN",
        "first_name": "STEPHEN",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "19638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.