Organization Active NPI

Trinity Rehabilitation Clinic, Inc.

  • Physical Therapist
  • Pensacola, FL
National Provider Identifier
1508801911
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT10333 Issued in FL
Legal business name
TRINITY REHABILITATION CLINIC, INC.
Practice address
2629 Creighton Rd
Suite # 4
Pensacola, FL 32504-7340
Phone
(850) 969-1726
Fax
(850) 969-7926
NPI assigned
Jun 19, 2006
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
Dr. Kayode George Soladoye, DPTNPI 1215971551
Title
Physical Therapist
Phone
(850) 969-1726

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT10333 FL Primary

Addresses

Primary practice location

2629 Creighton Rd
Suite # 4
Pensacola, FL 32504-7340

Mailing address

2629 Creighton Rd
Suite # 4
Pensacola, FL 32504-7340
Phone (850) 969-1726

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101201001135 FL Part B Supplier - Clinic/Group Practice 7810183811 Receives reassigned benefits from 2 practitioners
Practice locations: Milton, FL; Pensacola, FL

National Provider Directory

National Provider Directory

Locations

5209 Dogwood Dr
Milton, FL 32570
Phone (850) 981-6311

2629 Creighton Rd
Ste 4
Pensacola, FL 32504
Phone (850) 969-1726

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": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508801911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2629 CREIGHTON RD",
            "address_2": "SUITE # 4",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325047340",
            "telephone_number": "850-969-1726",
            "fax_number": "850-969-7926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2629 CREIGHTON RD",
            "address_2": "SUITE # 4",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325047340",
            "telephone_number": "850-969-1726",
            "fax_number": "850-969-7926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY REHABILITATION CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOLADOYE",
        "authorized_official_first_name": "KAYODE",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "850-969-1726",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT10333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.