Individual provider Active NPI

Patsy Regina Merritt, P.T.

  • Physical Therapist
  • Panama City Beach, FL
National Provider Identifier
1235125915
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH3749 Issued in AL
Practice address
16201 Panama City Beach Pkwy Ste a
Panama City Beach, FL 32413
Phone
(850) 250-0826
Fax
(850) 250-0840
NPI assigned
Sep 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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 PTH3749 AL Primary

Addresses

Primary practice location

16201 Panama City Beach Pkwy Ste a
Panama City Beach, FL 32413

Mailing address

1100 Circle 75 Pkwy SE Ste 1400
Atlanta, GA 30339-3067
Phone (678) 981-3543

Other practice location 1

1480 Ross Clark Cir
Dothan, AL 36301-4752
Phone (334) 793-2663

Other identifiers 5

IdentifierTypeStateIssuer
890013410MedicaidAL
890013740MedicaidAL
515-27823OtherALBCBS - FLO REHAB
515-27821OtherALBCBS - RCC REHAB
515-27824OtherALBCBS - EPR REHAB

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190830001151 FL Practitioner - Physical Therapist in Private Practice 2668414509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10605 S Jog Rd
Boynton Beach, FL 33437-3234
Phone (904) 717-7782

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH3749ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
RWW Senior Living Outpatient Rehab Services, LLC Physical Therapist Current Accepting new patients
RWW Senior Living Outpatient Rehab Services, LLC Physical Therapist CurrentSince May 23, 2025 Accepting new patients
Premier Rehab Management, LLC Physical Therapist Past Accepting new patients
Womens Therapy and Wellness Company Past Accepting new patients
Rehab in Motion, LLC Physical Therapist Past Accepting new patients

Locations

10605 S Jog Rd
Boynton Beach, FL 33437
Phone (561) 413-6807

12219 Panama City Beach Pkwy
Panama City Beach, FL 32407

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1235125915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 CIRCLE 75 PKWY SE STE 1400",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303393067",
            "telephone_number": "678-981-3543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16201 PANAMA CITY BEACH PKWY STE A",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "32413",
            "telephone_number": "850-250-0826",
            "fax_number": "850-250-0840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1480 Ross Clark Cir",
            "address_purpose": "LOCATION",
            "city": "Dothan",
            "state": "AL",
            "postal_code": "363014752",
            "country_code": "US",
            "telephone_number": "334-793-2663",
            "fax_number": "334-793-2249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERRITT",
        "first_name": "PATSY",
        "middle_name": "REGINA",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-27",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH3749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890013410",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890013740",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - FLO REHAB",
            "identifier": "515-27823",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - RCC REHAB",
            "identifier": "515-27821",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - EPR REHAB",
            "identifier": "515-27824",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; 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.