Prime Therapy, Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PRIME THERAPY, INC

Practice address

4100 S Ferdon Blvd
Ste A1
Crestview, FL 32536-5252

Phone

(850) 682-8388

Fax

(850) 682-7463

NPI assigned

May 10, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Sabra Lynn Arzaga, PT

Title

Owner/Director

Phone

(850) 682-8388

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762128000000",
    "number": "1316996713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 S. FERDON BLVD",
            "address_2": "SUITE A1",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325365287",
            "telephone_number": "850-682-8388",
            "fax_number": "850-682-7463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 S FERDON BLVD",
            "address_2": "STE A1",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325365252",
            "telephone_number": "850-682-8388",
            "fax_number": "850-682-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A",
        "authorized_official_last_name": "ARZAGA",
        "authorized_official_first_name": "SABRA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "850-682-8388",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "885901900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y901T",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Yul Prince
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• Kiana Provitt
• Publix Super Markets Inc

• Clinic/Center in Crestview, FL
• Providers in Crestview, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; 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.