Active NPI
Michael A Pannell, PT
- Physical Therapist
- Pensacola, FL
National Provider Identifier
1427609288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 34482
- Practice address
- 13137 Sorrento Rd Ste C
Pensacola, FL 32507-8777 - Phone
- (850) 416-0025
- Fax
- (850) 416-1334
- NPI assigned
- Sep 24, 2019
- 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 | 34482 | FL | Primary |
Addresses
Primary practice location
13137 Sorrento Rd Ste C
Pensacola, FL 32507-8777
Mailing address
5372 Keel Dr
Pensacola, FL 32507-7993
Phone (317) 605-8740
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34482 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569283200000",
"number": "1427609288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5372 KEEL DR",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325077993",
"telephone_number": "317-605-8740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13137 SORRENTO RD STE C",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325078777",
"telephone_number": "850-416-0025",
"fax_number": "850-416-1334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANNELL",
"first_name": "MICHAEL",
"middle_name": "A",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-24",
"last_updated": "2019-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "34482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pensacola, FL
- Panhandle Orthopaedics LLC
- Panhandle Outpatient Surgery Center
- Panhandle Pain Management, LLC
- Panhandle Vascular Surgical Specialists
- Panhandle Vision Group Inc
- Jaucental Pantlitz
- Elizabeth Leane Papa, M.ED., EDS. LPC LMHC
- Louis Michael Papadelias, D.M.D.
- Haley Duke Papajohn, M.A, RMHCI
- Lisa Kay Papic, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.