Physiofix LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PHYSIOFIX LLC

Practice address

3355 Copter Rd BLDG 1&2
Pensacola, FL 32514-7083

Phone

(850) 529-3496

NPI assigned

Oct 13, 2015

Organization subpart

No

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

Authorized official

Name

Kerrilyn Gavin, PT, DPT, MTCNPI 1174994354

Title

Owner/Physical Therapist

Phone

(850) 529-3496

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kerrilyn Gavin, PT, DPT, MTC

  • Orthopedic Physical Therapist
  • Pensacola, FL
  • NPI 1174994354
  NPD (past) Authorized official

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444694400000",
    "number": "1427429604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 SONYA ST",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325719554",
            "telephone_number": "850-529-3496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 COPTER RD BLDG 1&2",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325147083",
            "telephone_number": "850-529-3496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIOFIX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-13",
        "last_updated": "2015-10-13",
        "status": "A",
        "authorized_official_last_name": "GAVIN",
        "authorized_official_first_name": "KERRILYN",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "850-529-3496",
        "authorized_official_credential": "PT, DPT, MTC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Phlegar
• Eleanor Phoenix
• Physician Associates of the Palm Beaches
• Physician Specialty Pharmacy LLC
• Physicians Associates of Pensacola, Inc.
• Jodi C Picasso, M.D.
• William S Pickens, MD
• Andrew Pickering, APRN
• Piedmont Place Health and Wellness
• Alex Thomas Piekarczyk, MD

• Physical Therapy Clinic/Center in Pensacola, FL
• Providers in Pensacola, 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 Oct 13, 2015; 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.