Individual provider Active NPI

Luize Warren, DPT

  • Physical Therapist
  • Lynn Haven, FL
National Provider Identifier
1245775014
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTT32245 Issued in FL
Practice address
2300 Jenks Ave Ste C
Lynn Haven, FL 32444-5469
Phone
(850) 249-1603
Fax
(850) 249-1605
NPI assigned
Jan 3, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PTT32245 FL
Physical Therapist 225100000X PTT32245 FL Primary

Addresses

Primary practice location

2300 Jenks Ave Ste C
Lynn Haven, FL 32444-5469

Mailing address

2300 Jenks Ave Ste C
Lynn Haven, FL 32444-5469
Phone (850) 249-1603

Other practice location 1

5620 Cherry St Ste D
Panama City, FL 32404-6766
Phone (850) 249-1603

Other practice location 2

11501 Hutchison Blvd Ste 100
Panama City Beach, FL 32407-3747
Phone (850) 249-1603

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170419000889 FL Practitioner - Physical Therapist in Private Practice 4385920727 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rinehart Brothers IncorporatedGroup PAC ID 2860489622, 8 clinicians

Practice addresses (Care Compare)

2300 Jenks Ave
Suite C
Lynn Haven, FL 32444-5469
Phone (850) 248-1600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTT32245FLMDPhysical Therapy Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Rinehart Brothers Incorporated Physical Therapist CurrentSince Apr 13, 2020 Accepting new patients
In Motion Physical Therapy LLC Physical Therapy CurrentSince Feb 1, 2017 Accepting new patients
In Motion Physical Therapy LLC Physical Therapy CurrentSince Feb 1, 2017 Accepting new patients
Hypermed, LLC Physical Therapy PastSince Apr 13, 2020 Accepting new patients

Locations

4776 Hodges Blvd
Ste 101
Jacksonville, FL 32224
Phone (904) 223-2363

2300 Jenks Ave
Ste C
Lynn Haven, FL 32444
Phone (850) 248-1600

5620 Cherry St
Ste D
Panama City, FL 32404
Phone (850) 248-1600

11501 Hutchison Blvd
Ste 100
Panama City Beach, FL 32407
Phone (850) 249-1603

Organizations & group practices 4

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": "1483401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1245775014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 JENKS AVE STE C",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324445469",
            "telephone_number": "850-249-1603",
            "fax_number": "850-249-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 JENKS AVE STE C",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324445469",
            "telephone_number": "850-249-1603",
            "fax_number": "850-249-1605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5620 Cherry St Ste D",
            "address_purpose": "LOCATION",
            "city": "Panama City",
            "state": "FL",
            "postal_code": "324046766",
            "country_code": "US",
            "telephone_number": "850-249-1603",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11501 Hutchison Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Panama City Beach",
            "state": "FL",
            "postal_code": "324073747",
            "country_code": "US",
            "telephone_number": "850-249-1603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARREN",
        "first_name": "LUIZE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-03",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PTT32245",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PTT32245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; 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.