Active NPI
Patsy Regina Merritt, P.T.
- Physical Therapist
- Panama City Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH3749
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890013410 | Medicaid | AL | |
| 890013740 | Medicaid | AL | |
| 515-27823 | Other | AL | BCBS - FLO REHAB |
| 515-27821 | Other | AL | BCBS - RCC REHAB |
| 515-27824 | Other | AL | BCBS - EPR REHAB |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| PTH3749 | AL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RWW Senior Living Outpatient Rehab Services, LLC | Physical Therapist | Current | Accepting new patients |
| RWW Senior Living Outpatient Rehab Services, LLC | Physical Therapist | Current | 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.
-
dba Adoration Outpatient Therapy
- Physical Therapist
- St Johns, FL
- NPI 1811735996
-
- Physical Therapist
- Sarasota, FL
- NPI 1619833803
-
- Physical Therapist
- Navarre, FL
- NPI 1821014390
-
- Physical Therapist
- St Johns, FL
- NPI 1255174371
-
dba Wiregrass Therapy and Wellness Company
- Physical Therapy Clinic/Center
- Dothan, AL
- NPI 1588716765
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.