South Walton Physical Therapy and Rehabilitation, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT3883 Issued in FL

Legal business name

SOUTH WALTON PHYSICAL THERAPY AND REHABILITATION, INC

Practice address

4942 US Highway 98 W Ste 6
Santa Rosa Beach, FL 32459-4092

Phone

(850) 267-9010

Fax

(850) 267-0677

NPI assigned

Dec 27, 2006

Organization subpart

No

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

Authorized official

Name

David V Monteleone

Title

Ceo

Phone

(850) 267-9010

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

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

• Jessica G Monteleone, PT

  • Physical Therapist
  • Dothan, AL
  • NPI 1487850608
  NPD

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497810535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4942 US HIGHWAY 98 W STE 6",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324594092",
            "telephone_number": "850-267-9010",
            "fax_number": "850-267-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4942 US HIGHWAY 98 W STE 6",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324594092",
            "telephone_number": "850-267-9010",
            "fax_number": "850-267-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH WALTON PHYSICAL THERAPY AND REHABILITATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MONTELEONE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "850-267-9010"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT3883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SRB BCBS PROV#",
            "identifier": "RG5",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DFS BCBS PROV#",
            "identifier": "RR2",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JESS'S AETNA PROV#",
            "identifier": "7446067",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Soroka Starbuck PA Dba Family Chiropractic Center
• Brian Keith Soroka, D.C.
• South Walton Academy, Inc.
• South Walton Fire District
• South Walton Pharmacy LLC
• South Walton Therapy Contracting LLC
• Southern Meridian Inc
• Southern Radiology Specialists of Destin PLLC
• Southern Wellness, LLC
• Spa Blu

• Physical Therapist in Santa Rosa Beach, FL
• Providers in Santa Rosa Beach, FL by specialty
• Physical Therapist in Florida

• 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.