NPIMap

Organization Active NPI

Select Physical Therapy

  • Clinic/Center
  • Niceville, FL
National Provider Identifier
1194278424
Registry record updated Aug 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
PT31422 Issued in FL
Legal business name
SELECT PHYSICAL THERAPY
Practice address
554 Twin Cities Blvd Ste a
Niceville, FL 32578-1058
Phone
(850) 729-3325
NPI assigned
Aug 3, 2016
Organization subpart
Yes
Parent organization
1801865118As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 3, 2016

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

Authorized official

Name
Mr. James Lee MeltonNPI 1942753272
Title
Physical Therapist
Phone
(850) 729-3325

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X PT31422 FL Primary

Addresses

Primary practice location

554 Twin Cities Blvd Ste a
Niceville, FL 32578-1058

Mailing address

554 Twin Cities Blvd Ste a
Niceville, FL 32578-1058
Phone (850) 729-3325

National Provider Directory

National Provider Directory
Tax ID family
Healthsouth Robinson CH169 organizations share this tax ID, including this one
Part of
Healthsouth Robinson CH

Organizations with this tax ID in the same state 17

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 17

Locations

554 Twin Cities Blvd
Ste A
Niceville, FL 32578
Phone (850) 424-7072

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470182400000",
    "number": "1194278424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "554 TWIN CITIES BLVD STE A",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325781058",
            "telephone_number": "850-729-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 TWIN CITIES BLVD STE A",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325781058",
            "telephone_number": "850-729-3325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT PHYSICAL THERAPY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "1801865118",
        "enumeration_date": "2016-08-03",
        "last_updated": "2016-08-03",
        "status": "A",
        "authorized_official_last_name": "MELTON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "850-729-3325",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "PT31422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niceville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; 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.