Active NPI
Excel Therapy, LLC
- Physical Therapist
- Panama City, FL
National Provider Identifier
1528344934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- EXCEL THERAPY, LLC
- Practice address
- 3420 E 15TH St
Panama City, FL 32405-7425 - Phone
- (850) 215-8844
- Fax
- (850) 215-6644
- NPI assigned
- Oct 30, 2011
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mr. Bryan Davis, P.T., D.P.T
- Title
- Co-Owner
- Phone
- (850) 832-7587
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Panama City, FL
- NPI 1013053644
FL, Physical Therapist
-
- Orthopedic Physical Therapist
- Callaway, FL
- NPI 1124304027
FL, Geriatrics
-
- Speech-Language Pathologist
- Callaway, FL
- NPI 1639455116
-
- Physical Therapy Assistant
- Panama City, FL
- NPI 1154838696
-
- Physical Therapist
- Panama City, FL
- NPI 1275558447
-
- Physical Therapy Assistant
- Panama City, FL
- NPI 1992211908
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120104000230 | FL | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 0648446278 |
Receives reassigned benefits from 3 practitioners Practice locations: Panama City, FL |
National Provider Directory
National Provider DirectoryLocations
3420 E 15th St
Panama City, FL 32405
Phone (850) 215-8844
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Speech-Language Pathologist | 235Z00000X |
Addresses
NPPES NPI RegistryPrimary practice location
3420 E 15TH St
Panama City, FL 32405-7425
Mailing address
3420 E 15TH St
Panama City, FL 32405-7425
Phone (850) 215-8844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 27, 2022.
{
"created_epoch": "1319932800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1656288000000",
"number": "1528344934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3420 E 15TH ST",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324057425",
"telephone_number": "850-215-8844",
"fax_number": "850-215-6644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3420 E 15TH ST",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324057425",
"telephone_number": "850-215-8844",
"fax_number": "850-215-6644"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXCEL THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-30",
"last_updated": "2022-06-27",
"certification_date": "2022-06-27",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "BRYAN",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "850-832-7587",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "P.T., D.P.T"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; 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.