Patricia Kay Sublett, P.T.
Individual provider Active NPI Physical Therapist · Callaway, FL
NPI 1245348804 · NPPES record last updated Nov 24, 2008
Key facts
- NPI
- 1245348804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- FL 6666 (FL)
- Practice address
- 807 N Tyndall Pkwy
Callaway, FL 32404-9495 - Phone
- (850) 763-0505
- Fax
- (850) 763-0966
- NPI assigned
- Aug 25, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH1787 | AL | MD | Physical Therapist |
| FL 6666 | FL | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTH1787 | AL | |
| Physical Therapist | 225100000X | FL 6666 | FL | Yes |
Addresses
Primary practice location
807 N Tyndall Pkwy
Callaway, FL 32404-9495
Mailing address
807 N Tyndall Pkwy
Callaway, FL 32404-9495
Phone (850) 763-0505
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33920 | Other | AL | BLUE CROSS BLUE SHIELD |
| 527086 | Medicaid | AL | |
| 000033920 | Medicaid | AL |
Other providers in Callaway, FL
- Rehab Plus Physical Therapy, Inc.
- Timothy Schmiz
- Jessica L Seal
- Kerry Firmin Smith
- Jennifer Elaine Sorrell
- Leonardo Tarulli
- Wal-Mart Stores East LP
- Corey Wigginton
- Richard McKee Wooten
All providers in Callaway, FL · Physical Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 24, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.