Tallahassee Orthopedic & Sports Physical Therapy, LLC
Organization Active NPI Physical Therapy Clinic/Center · Apalachicola, FL
NPI 1558098038 · NPPES record last updated Aug 4, 2022
Key facts
- NPI
- 1558098038
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- Legal business name
- TALLAHASSEE ORTHOPEDIC & SPORTS PHYSICAL THERAPY, LLC
- Practice address
- 76 Market St Ste D
Apalachicola, FL 32320-2709 - Phone
- (850) 739-7671
- NPI assigned
- Aug 4, 2022
- Organization subpart
- No
Authorized official
- Name
- Kent C Knisley
- Title
- Ceo
- Phone
- (850) 545-5318
Other NPIs on the same Medicare enrollment 5
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 9
Practitioners 9
-
Kent C Knisley, P.T., A.T.C
-
Kayla Severance, DPT
-
Devin Limerick, PT
-
Jace Kempner, PT, DPT
-
John Thomas Rowell, DPT, LAT, ATC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040131000346 | FL | Part a Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 3678476017 |
5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Apalachicola, FL; Crawfordville, FL; Tallahassee, FL |
| O20230728001007 | FL | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 3678476017 |
Receives reassigned benefits from 7 practitioners Practice locations: Live Oak, FL |
National Provider Directory
- Tax ID family
- Tallahassee Orthopedic
Locations
76 Market St
Ste D
Apalachicola, FL 32320
Phone (850) 370-1780
2887 Crawfordville Hwy
Ste 3
Crawfordville, FL 32327
Phone (850) 926-8555
2887 Crawfordville Hwy
Ofc
Crawfordville, FL 32327
Phone (850) 926-8555
2057 S Byron Butler Pkwy
Ste 12
Perry, FL 32348
Phone (850) 223-3997
1815 Thomasville Rd
Ste 4
Tallahassee, FL 32303
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | |||
| Physical Therapy Clinic/Center | 261QP2000X | Yes |
Addresses
Primary practice location
76 Market St Ste D
Apalachicola, FL 32320-2709
Mailing address
1650 Lyndon Farm CT Ste 300
Louisville, KY 40223-5005
Other providers in Apalachicola, FL
- Southern Speech Therapy, Inc.
- Southland EMS at Weems PL
- Southland Hospitalist at Weems PL
- Superior Anesthesia for Everyone, LLC
- Tallahassee Memorial Healthcare Inc
- Sussete Valdueza
- John F Walker
- Wanda Teat Counseling LLC
- Sherry Ware
- Sharon Lynne Willis
All providers in Apalachicola, FL · Physical Therapy Clinic/Center in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.