Olive Tree Physical Therapy, LLC

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

License

PT26256 Issued in FL

Legal business name

OLIVE TREE PHYSICAL THERAPY, LLC

Practice address

2810 Highway 77
D
Panama City, FL 32405-4479

Phone

(704) 779-3119

NPI assigned

Feb 22, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Shimika Tomes, PT, DPT

Title

Owner

Phone

(704) 779-3119

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456099200000",
    "number": "1407215254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CABANA BLVD",
            "address_2": "UNIT 1103",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324074563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 HIGHWAY 77",
            "address_2": "D",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054479",
            "telephone_number": "704-779-3119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE TREE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-22",
        "last_updated": "2016-02-22",
        "status": "A",
        "authorized_official_last_name": "TOMES",
        "authorized_official_first_name": "SHIMIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-779-3119",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "FL",
            "license": "PT26256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rajeshwari Veera Ram Ogirala, PHARMACIST
• Caitlin Ohlrich
• Kwabena Okyere, PHARM.D
• Abigail Olalia, OTR
• Sheryl L Oleck
• Blake Oliveira
• Oliver M Hasek LLC
• Emily Grace Oliver
• Shantel M Olson, APRN, CNM
• Terri E. Oman, RN

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Panama City, FL
• Providers in Panama City, FL by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; 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.