Individual provider Active NPI

Taylor Smith Flitcraft, OTR/L

  • Occupational Therapist
  • Panama City Beach, FL
National Provider Identifier
1235899501
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
22630 Issued in FL
Practice address
13405 Panama City Beach Pkwy Ste a
Panama City Beach, FL 32407-2885
Phone
(850) 236-7497
Fax
(850) 236-7499
NPI assigned
Dec 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 22630 FL Primary

Addresses

Primary practice location

13405 Panama City Beach Pkwy Ste a
Panama City Beach, FL 32407-2885

Mailing address

3210 Jenks Ave
Panama City, FL 32405-4224
Phone (850) 763-0603

Other practice location 1

3210 Jenks Ave
Panama City, FL 32405-4224
Phone (850) 763-0603

Other names 1

  • Taylor Smith Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220210001677 FL Practitioner - Occupational Therapist in Private Practice 3870986037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy One Rehabilitation Center Inc 10 clinicians

Practice addresses (Care Compare)

3210 Jenks Ave
Panama City, FL 32405-4224
Phone (850) 763-0603

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22630FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy One Rehabilitation Center, Inc. CurrentSince Jan 17, 2022 Accepting new patients

Locations

3210 Jenks Ave
Panama City, FL 32405
Phone (850) 763-0603

13405 Panama City Beach Pkwy
Ste A
Panama City Beach, FL 32407
Phone (850) 236-7497

Organizations & group practices 1

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": "1640649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1235899501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 JENKS AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054224",
            "telephone_number": "850-763-0603",
            "fax_number": "850-769-5914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13405 PANAMA CITY BEACH PKWY STE A",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324072885",
            "telephone_number": "850-236-7497",
            "fax_number": "850-236-7499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3210 Jenks Ave",
            "address_purpose": "LOCATION",
            "city": "Panama City",
            "state": "FL",
            "postal_code": "324054224",
            "country_code": "US",
            "telephone_number": "850-763-0603",
            "fax_number": "850-769-5914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLITCRAFT",
        "first_name": "TAYLOR",
        "middle_name": "SMITH",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-28",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "22630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "SMITH",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jul 28, 2025; 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.