Active NPI
Rebecca Bartlett, DPT
- Physical Therapist
- Fort Walton Beach, FL
National Provider Identifier
1174852446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT25188
- Practice address
- 405 Racetrack Rd NE
Suite 101
Fort Walton Beach, FL 32547-2561 - Phone
- (850) 863-4747
- Fax
- (850) 863-8580
- NPI assigned
- Dec 16, 2009
- Last updated
- Dec 16, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT25188 | FL | Primary |
| Physical Therapist | 225100000X | PT10553 | CO |
Addresses
Primary practice location
405 Racetrack Rd NE
Suite 101
Fort Walton Beach, FL 32547-2561
Mailing address
1153 Gulf Breeze Pkwy
Gulf Breeze, FL 32561-7807
Phone (850) 932-6382
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT10553 | CO | MD | Physical Therapist |
| PT25188 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Physical Therapy Holdings Inc | Past | Accepting new patients | |
| Gulf Breeze Physical Therapy Inc. | Physical Therapist | Past | Accepting new patients |
| Select Physical Therapy Holdings Inc | Past | Accepting new patients |
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 3
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.
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Pensacola, FL
- NPI 1730183153
Physical Therapist
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Fort Walton Beach, FL
- NPI 1801865118
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Ashland, VA
- NPI 1174591218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260921600000",
"number": "1174852446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1153 GULF BREEZE PKWY",
"city": "GULF BREEZE",
"state": "FL",
"postal_code": "325617807",
"telephone_number": "850-932-6382",
"fax_number": "850-932-9215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 RACETRACK RD NE",
"address_2": "SUITE 101",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325472561",
"telephone_number": "850-863-4747",
"fax_number": "850-863-8580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTLETT",
"first_name": "REBECCA",
"name_prefix": "Miss",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-16",
"last_updated": "2009-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT25188",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PT10553",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Walton Beach, FL
- Brianna Barry, PA-C
- Patricia A Barsky, L.P.N
- Anton Bartkiv, DO
- Bartlett Family and Cosmetic Dentistry, PLLC (Bright Smiles Family and Cosmetic Dentistry)
- Katherine Jo Bartlett
- Keilah Marie Barton, DO
- Sherri Barton, APRN
- J. Brent Bartruff, D.M.D.
- Svetlana Basenspiler
- Basil D. Fossum, M.D. PA (Basil D. Fossum, M.D.)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.