Gabriel Evan Sebastian Panebianco Huffman

Primary specialty

Neurology Physical TherapistTaxonomy code 2251N0400X

Practice address

190 Southpark Blvd Ste 100
Saint Augustine, FL 32086-4209

Phone

(904) 824-1478

NPI assigned

Jul 18, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bay State Physical Therapy of Randolph Inc

  dba Bay State Physical Therapy

  • Physical Therapist
  • Fall River, MA
  • NPI 1164474334
  NPD
• Bay State Physical Therapy of Randolph Inc

  dba Bay State Physical Therapy

  • Physical Therapist
  • Franklin, MA
  • NPI 1821108549
  NPD
• Genesis Rehabilitation Hospital, Inc.

  dba Brooks Rehabilitation Hospital Bartram Campus

  • Rehabilitation Hospital
  • Jacksonville, FL
  • NPI 1376114413
  NPD (past)
• Genesis Rehabilitation Hospital, Inc.

  dba Brooks Rehabilitation

  • Rehabilitation Hospital
  • Jacksonville, FL
  • NPI 1912947748
  NPD (past)

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1487334280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 UNIVERSITY BLVD S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164312",
            "telephone_number": "904-345-7251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 SOUTHPARK BLVD STE 100",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320864209",
            "telephone_number": "904-824-1478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANEBIANCO HUFFMAN",
        "first_name": "GABRIEL",
        "middle_name": "EVAN SEBASTIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Bowman Pamer, LMHC
• Panacea Alliance Corp.
• Valeri' Pandak, EI
• Jinal Pandya, PT
• Neha Mehul Pandya, DMD
• Daniela Treatment Panet Raymond
• Pantaleon Pathology Associates PA
• Yanet Pantaleon, MD
• Paper Crane Wellness Services LLC
• Monica Parco, MSN, FNP-C

• Neurology Physical Therapist in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Neurology Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.