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

Doing business as

Florida Physical Therapy Services of Panama City

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

Last updated

May 7, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joshua L. Proffitt

Title

President

Phone

(337) 233-1307

Specialties & licenses 3

Addresses

Other names 1

• Florida Physical Therapy Services of Panama City Doing business as

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

{
    "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 (Panama City Beach Imaging)
• Florida Woman Care ,LLC
• Joellen Sue Flory, ARNP
• Cassandra Foran, NP
• Aaron Cole Ford, APRN
• Marianne Pinion Ford, APRN, FNP-BC, FNP-C

• Physical Therapist in Panama City Beach, FL
• Providers in Panama City 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 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.