Organization Active NPI

Hand Center of the Emerald Coast, LLC.

  • Hand Occupational Therapist
  • Fort Walton Beach, FL
National Provider Identifier
1194494476
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
Legal business name
HAND CENTER OF THE EMERALD COAST, LLC.
Practice address
26 Racetrack Rd NW
Fort Walton Beach, FL 32547-1640
Phone
(850) 543-2163
NPI assigned
Sep 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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

Authorized official

Name
Victoria Lee Berry, OTD, OTR/LNPI 1922523018
Title
President/Ceo
Phone
(850) 543-2163

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XH1200X Primary

Addresses

Primary practice location

26 Racetrack Rd NW
Fort Walton Beach, FL 32547-1640

Mailing address

26 Racetrack Rd NW Ste E
Fort Walton Beach, FL 32547-1640
Phone (850) 543-2163

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211025000684 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0840688826 Receives reassigned benefits from 3 practitioners
Practice locations: Fort Walton Beach, FL

National Provider Directory

National Provider Directory

Locations

26 Racetrack Rd NW
Ste E
Ft Walton Bch, FL 32547
Phone (850) 374-3465

26 Racetrack Rd NW
Ft Walton Bch, FL 32547
Phone (850) 416-2340

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639958400000",
    "number": "1194494476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 RACETRACK RD NW STE E",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471640",
            "telephone_number": "850-543-2163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 RACETRACK RD NW",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471640",
            "telephone_number": "850-543-2163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAND CENTER OF THE EMERALD COAST, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-09",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "850-543-2163",
        "authorized_official_credential": "OTD, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.