South Walton Therapy Contracting LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SOUTH WALTON THERAPY CONTRACTING LLC

Doing business as

South Walton Physical Therapy & Wellness

Practice address

99 Eagle Bay LN
Santa Rosa Beach, FL 32459-8370

Phone

(850) 254-1128

Fax

(866) 728-7817

NPI assigned

Apr 16, 2024

Organization subpart

No

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

Authorized official

Name

Sherrie Ann Lanceta Aquino, PTNPI 1144776949

Title

Manager

Phone

(706) 980-8425

Specialties & licenses 1

Addresses

Other names 1

• SOUTH WALTON PHYSICAL THERAPY & WELLNESS Doing business as

Practitioners 2

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

• Sherrie Ann Lanceta Aquino, DPT

  • Physical Therapist
  • Miramar Beach, FL
  • NPI 1144776949
  NPD Authorized official
• Laurence Perez Aquino, DPT,PT,MBA,OCS

  • Physical Therapist
  • Miramar Beach, FL
  • NPI 1982094108
  NPD

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

{
    "created_epoch": "1713225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1548014533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 EAGLE BAY LN",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324598370",
            "telephone_number": "850-254-1128",
            "fax_number": "866-728-7817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 EAGLE BAY LN",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324598370",
            "telephone_number": "850-254-1128",
            "fax_number": "866-728-7817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH WALTON THERAPY CONTRACTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-16",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-15",
        "status": "A",
        "authorized_official_last_name": "AQUINO",
        "authorized_official_first_name": "SHERRIE ANN",
        "authorized_official_middle_name": "LANCETA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "706-980-8425",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTH WALTON PHYSICAL THERAPY & WELLNESS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brian Keith Soroka, D.C.
• South Walton Academy, Inc.
• South Walton Fire District
• South Walton Pharmacy LLC (Pharma Fusion)
• South Walton Physical Therapy and Rehabilitation, Inc
• Southern Meridian Inc (Santa Rosa Pharmacy)
• Southern Radiology Specialists of Destin PLLC (Dolphin Diagnostic Imaging)
• Southern Wellness, LLC
• Spa Blu
• Anna Carolina Spilere Furlan, MD

• 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 Apr 16, 2024; 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.