Abbey Winblad, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

32211 Issued in FL

Practice address

405 Racetrack Rd NE
Suite 101
Fort Walton Beach, FL 32547-2561

Phone

(850) 863-4747

NPI assigned

Jul 20, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Abbey Martin Former name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Select Physical Therapy Holdings IncGroup PAC ID 9537076401, 1,992 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Select Physical Therapy Holdings Inc

  • Physical Therapy Clinic/Center
  • Jacksonville, FL
  • NPI 1669441911
  Medicare reassignment Care Compare group NPD
• Select Physical Therapy Holdings Inc

  • Physical Therapy Clinic/Center
  • Orlando, FL
  • NPI 1629037452
  NPD
• Select Physical Therapy Holdings Inc

  • Physical Therapy Clinic/Center
  • Ashland, VA
  • NPI 1174591218
  NPD

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

{
    "created_epoch": "1342742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485388800000",
    "number": "1306191838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 MEADOW VIEW CT",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325664838",
            "telephone_number": "813-210-4641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 RACETRACK RD NE",
            "address_2": "SUITE 101",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325472561",
            "telephone_number": "850-863-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINBLAD",
        "first_name": "ABBEY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-20",
        "last_updated": "2017-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "4158",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "32211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABBEY",
            "last_name": "MARTIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Crystal Larae Wilson
• Heather Wilson, RBT
• Matthew J Wilson, LMT
• Reemeka Lasha Wilson, MASTER OF SCIENCE
• Beverly Wilusz, LMHC
• Robert Edward Winkler Jr., ATC
• Anne Wise, L.M.H.C.
• Jessica Wise, M.D.
• Sharon Renee Wise, LMHC
• Matthew Wisniewski, PTA

• 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 Jan 26, 2017; 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.