Mobile PT LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MOBILE PT LLC

Practice address

103 Bonaire Dr
Panama City Beach, FL 32413-6006

Phone

(850) 353-1305

NPI assigned

Dec 5, 2024

Organization subpart

No

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

Authorized official

Name

Danielle V McRae, PT, DPTNPI 1487826566

Title

Owner

Phone

(850) 353-1305

Specialties & licenses 1

Addresses

Tax ID family

Mobile PT LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mobile PT LLC

  • Physical Therapist
  • Panama City Beach, FL
  • NPI 1730995788
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Danielle V McRae, DPT

  • Orthopedic Physical Therapist
  • Shreveport, LA
  • NPI 1487826566
  NPD Authorized official

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

{
    "created_epoch": "1733356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1417763475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 BONAIRE DR",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324136006",
            "telephone_number": "850-353-1305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 BONAIRE DR",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324136006",
            "telephone_number": "850-353-1305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE PT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-05",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "MCRAE",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-353-1305",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Miller
• Lindsay Pearl Mims, LMHC
• Baker A Mitchell III, MD
• Elizabeth Ann Mitchell, BCBA
• Mobile Medical and Wellness LLC
• Mobile PT LLC
• William Fitch Montfort IV, IDC
• Aaron Montgomery, LPCC
• Dawna Lynn Moore
• Lauren Michelle Moore, LPTA

• Physical Therapy Clinic/Center in Panama City Beach, FL
• Providers in Panama City Beach, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.