Active NPI
Laura M. Flaherty, PT
- Physical Therapist
- Fort Walton Beach, FL
National Provider Identifier
1184853038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT19525
- Practice address
- 405 Racetrack Rd NE
Suite 101
Fort Walton Beach, FL 32547-2561 - Phone
- (850) 863-4747
- Fax
- (850) 863-4658
- NPI assigned
- Jul 13, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT19525 | FL | Primary |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iperformance Center | Physical Therapist | Current | Accepting new patients |
| Rehabclinics SPT Inc | Physical Therapist | Past | Accepting new patients |
| Gulf Breeze Physical Therapy Inc. | Physical Therapist | Past | Accepting new patients |
Locations
200 Calusa Blvd
Unit 300
Destin, FL 32541
Phone (850) 460-2024
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 and National Provider Directory roles.
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Pensacola, FL
- NPI 1730183153
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247443200000",
"number": "1184853038",
"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": "850-863-4658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLAHERTY",
"first_name": "LAURA",
"middle_name": "M.",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-13",
"last_updated": "2009-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT19525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Walton Beach, FL
- Howard Fisher, DDS
- Danielle Fitzgerald, BCBA
- Rylee Fiveash, MA CCC SLP
- FKP Fort Walton Beach Senior Living Tenant LLC (Belvedere Commons of Fort Walton Beach)
- FL-I Medical Services LLC
- Leslie R Fleischer, M.D.
- Jamie Marie Flink, CRNA
- Jessica Flores
- Florida Department of Health (Okaloosa County Health Dept-FFS)
- Florida Department of Health (Okaloosa Co. Health Dept)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.