Florida Physical Therapy Services of Panama City, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

FLORIDA PHYSICAL THERAPY SERVICES OF PANAMA CITY, LLC

Practice address

12219 Panama City Beach Pkwy Ste 105
Panama City Beach, FL 32407-2701

Phone

(850) 588-1568

Fax

(850) 588-4221

NPI assigned

Apr 8, 2021

Organization subpart

No

Name

Joshua L. Proffitt

Title

President

Phone

(337) 233-1307

• Florida Physical Therapy Services of Panama City Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 7, 2024.

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1548840259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51266",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705051266",
            "telephone_number": "337-233-1307",
            "fax_number": "337-443-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12219 PANAMA CITY BEACH PKWY STE 105",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324072701",
            "telephone_number": "850-588-1568",
            "fax_number": "850-588-4221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA PHYSICAL THERAPY SERVICES OF PANAMA CITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-08",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "PROFFITT",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-233-1307"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida Physical Therapy Services of Panama City",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Florida Physical Therapy Services of Panama City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ami Elizabeth Fiser, COTA
• Tregon Fitch, EDD, LMHC
• Flekks
• Taylor Smith Flitcraft, OTR/L
• Florida Diagnostic Imaging Center
• Florida Woman Care ,LLC
• Joellen Sue Flory, ARNP
• Cassandra Foran, NP
• Aaron Cole Ford, APRN
• Marianne Pinion Ford, APRN, FNP-BC, FNP-C

• All providers in Panama City Beach, FL
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.