Organization Active NPI

Excel Therapy, LLC

  • Physical Therapist
  • Panama City, FL
National Provider Identifier
1528344934
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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.TNPI 1013053644
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.

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

3420 E 15th St
Panama City, FL 32405
Phone (850) 215-8844

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.