NPIMap

Organization Active NPI

Compass Physical Therapy

  • Physical Therapy Clinic/Center
  • Wewahitchka, FL
National Provider Identifier
1467579441
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
HCC5825 Issued in FL
Legal business name
COMPASS PHYSICAL THERAPY
Practice address
515 S Highway 71
Wewahitchka, FL 32465-4507
Phone
(850) 639-6611
Fax
(850) 639-6616
NPI assigned
Mar 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Diane M. Cook
Title
Office Manager
Phone
(850) 763-0505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X HCC5825 FL Primary

Addresses

Primary practice location

515 S Highway 71
Wewahitchka, FL 32465-4507

Mailing address

515 S Highway 71
Wewahitchka, FL 32465-4507
Phone (850) 639-6611

Other identifiers 1

IdentifierTypeStateIssuer
Y905DOtherFLBCBS OF FLORIDA

National Provider Directory

National Provider Directory
Tax ID family
Compass Physical Therapy4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

515 S Highway 71
Wewahitchka, FL 32465
Phone (850) 639-6611

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467579441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 S HIGHWAY 71",
            "city": "WEWAHITCHKA",
            "state": "FL",
            "postal_code": "324654507",
            "telephone_number": "850-639-6611",
            "fax_number": "850-639-6616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 S HIGHWAY 71",
            "city": "WEWAHITCHKA",
            "state": "FL",
            "postal_code": "324654507",
            "telephone_number": "850-639-6611",
            "fax_number": "850-639-6616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "850-763-0505"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "HCC5825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "Y905D",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wewahitchka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.