PT Solutions of Pensacola LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PT SOLUTIONS OF PENSACOLA LLC

Practice address

250 Palm Coast Pkwy NE Unit 209a
Palm Coast, FL 32137-8289

Phone

(678) 932-3629

Fax

(386) 597-1926

NPI assigned

Apr 8, 2019

Last updated

May 3, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carmen Philpot

Title

Revenue Cycle Director

Phone

(678) 403-3568

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• PT Solutions of Pensacola LLC

  • Physical Therapist
  • Palm Coast, FL
  • NPI 1417517350

  O20130408000171

  Same enrollment
• PT Solutions of Pensacola, LLC

  • Physical Therapist
  • Pensacola, FL
  • NPI 1730439092

  O20130408000171

  Same enrollment

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christopher Kamm

  • Physical Therapist
  • Palm Coast, FL
  • NPI 1124581939
  NPD
• Heather Tack

  • Physical Therapist
  • Clearwater, FL
  • NPI 1710274113
  NPD
• William Wise

  • Physical Therapist
  • Palm Coast, FL
  • NPI 1659934875
  NPD
• Marissa Curro, OT

  • Hand Occupational Therapist
  • San Marcos, CA
  • NPI 1164818795
  NPD
• Luis A Hernandez Jr., D.P.T

  • Physical Therapist
  • Cartersville, GA
  • NPI 1629380399
  NPD

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

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556841600000",
    "number": "1336602242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 724557",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311391557",
            "telephone_number": "678-403-3568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PALM COAST PKWY NE UNIT 209A",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378289",
            "telephone_number": "678-932-3629",
            "fax_number": "386-597-1926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PT SOLUTIONS OF PENSACOLA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-08",
        "last_updated": "2019-05-03",
        "status": "A",
        "authorized_official_last_name": "PHILPOT",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
        "authorized_official_telephone_number": "678-403-3568"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Price
• Caroline Pridgen, PA-C
• Andre Stephen Prince, MD
• Lisa C Pritchard, LMT
• Olga Prosvetova, APRN
• PT Solutions of Pensacola LLC
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• Physical Therapist in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.