Active NPI
Doreen Baxley, PT
- Physical Therapist
- Panama City, FL
National Provider Identifier
1477934073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT15292
- Practice address
- 10800 Panama City Beach Pkwy
Panama City, FL 32407-2533 - Phone
- (850) 588-6852
- NPI assigned
- Jun 9, 2015
- Last updated
- Jun 9, 2015
- Sex
- Female
- 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 | PT15292 | FL | Primary |
Addresses
Primary practice location
10800 Panama City Beach Pkwy
Panama City, FL 32407-2533
Mailing address
603 Redbird St
Lynn Haven, FL 32444-4384
Phone (850) 271-3709
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 |
|---|---|---|---|
| PT15292 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433808000000",
"number": "1477934073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 REDBIRD ST",
"city": "LYNN HAVEN",
"state": "FL",
"postal_code": "324444384",
"telephone_number": "850-271-3709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10800 PANAMA CITY BEACH PKWY",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324072533",
"telephone_number": "850-588-6852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAXLEY",
"first_name": "DOREEN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-09",
"last_updated": "2015-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT15292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Panama City, FL
- Bauman Chiropractic Clinic of North West Florida, P.a.
- Bauman Chiropractic Clinic of Northwest Florida, P.a.
- Marianne Taylor Bauman, D.C.
- Walter Reid Bauman, D.C.
- Michelle Lavette Bautista, ARNP
- Skylar Baxley, RBT
- Bay Arthritis Institute
- Bay Center Rehabilitation, LLC (Sweet Bay Health and Rehabilitation Center)
- Bay Clinic of Chiropractic LLC
- Bay County Board of County Commissioners (Bay County Emergency Medical Services Division)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.