Active NPI
Eric D Ellington, DPT
- Physical Therapist
- Panama City Beach, FL
National Provider Identifier
1386611812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT20147
- Practice address
- 12909 Panama City Beach Pkwy
Panama City Beach, FL 32407-2717 - Phone
- (850) 784-7724
- Fax
- (850) 784-4711
- NPI assigned
- Mar 3, 2006
- Last updated
- Mar 28, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT20147 | FL | Primary |
Addresses
Primary practice location
12909 Panama City Beach Pkwy
Panama City Beach, FL 32407-2717
Mailing address
12909 Panama City Beach Pkwy
Panama City Beach, FL 32407-2717
Phone (850) 784-7724
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT20147 | FL | MD | Physical Therapist |
| 6070 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy One Rehabilitation Center, Inc. | Physical Therapist | Past | Accepting new patients |
| Independent Physical Therapy of Georgia, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Therapy One Rehabilitation, Health & Fitness Center, Inc.
- Physical Therapy Clinic/Center
- Panama City, FL
- NPI 1386647683
Physical Therapist
-
dba BenchMark Physical Therapy
- Physical Therapy Clinic/Center
- Woodstock, GA
- NPI 1912950569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648425600000",
"number": "1386611812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12909 PANAMA CITY BEACH PKWY",
"city": "PANAMA CITY BEACH",
"state": "FL",
"postal_code": "324072717",
"telephone_number": "850-784-7724",
"fax_number": "850-784-4711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12909 PANAMA CITY BEACH PKWY",
"city": "PANAMA CITY BEACH",
"state": "FL",
"postal_code": "324072717",
"telephone_number": "850-784-7724",
"fax_number": "850-784-4711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLINGTON",
"first_name": "ERIC",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-03",
"last_updated": "2022-03-28",
"certification_date": "2022-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT20147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Panama City Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.