Axis Physiotherapy Institute

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

AXIS PHYSIOTHERAPY INSTITUTE

Practice address

339 Racetrack Rd NW Ste 18
Fort Walton Beach, FL 32547-1581

Phone

(256) 749-2930

NPI assigned

Oct 28, 2019

Organization subpart

No

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

Authorized official

Name

Jordan Brewer

Title

Physical Therapist

Phone

(256) 749-2930

Specialties & licenses 1

Addresses

Tax ID family

Axis Physiotherapy Institute2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Axis Physiotherapy Institute, LLC

  • Physical Therapist
  • Fort Walton Beach, FL
  • NPI 1790328045
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Aaron Leary, PT

  • Physical Therapist
  • Fort Walton Beach, FL
  • NPI 1144571852
  NPD

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572220800000",
    "number": "1265075717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 BEACH DR",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325411713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 RACETRACK RD NW STE 18",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471581",
            "telephone_number": "256-749-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIS PHYSIOTHERAPY INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-28",
        "last_updated": "2019-10-28",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "256-749-2930"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tahne Atkinson
• Fred E Aubert Jr., M.D.
• Australian Lungfish Surgical Specialists LLC
• Australian Lungfish Surgical Specialists LLC
• Margaret Ann Avery, FNP-BC
• Axis Physiotherapy Institute, LLC
• Michelle Gomez Bagsic
• Caleb Micah Bailey
• Tara Michelle Bailey, CRNA
• Thomas Daniel Bailey, MD FACS

• Physical Therapist in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.