NPIMap

Organization Active NPI

Tallahassee Orthopedic & Sports Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Apalachicola, FL
National Provider Identifier
1558098038
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 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
Last updated
Aug 4, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Authorized official

Name
Kent C KnisleyNPI 1922137934
Title
Ceo
Phone
(850) 545-5318

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X
Physical Therapy Clinic/Center 261QP2000X Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Tospt Live Oak10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2887 Crawfordville Hwy
Ofc
Crawfordville, FL 32327
Phone (850) 926-8555

171 US Highway 98
Unit H
Eastpoint, FL 32328
Phone (850) 670-3100

2057 S Byron Butler Pkwy
Ste 12
Perry, FL 32348
Phone (850) 223-3997

1815 Thomasville Rd
Ste 4
Tallahassee, FL 32303

1891 Capital Cir NE
Ste 2
Tallahassee, FL 32308
Phone (850) 877-8855

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659571200000",
    "number": "1558098038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 LYNDON FARM CT STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 MARKET ST STE D",
            "city": "APALACHICOLA",
            "state": "FL",
            "postal_code": "323202709",
            "telephone_number": "850-739-7671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALLAHASSEE ORTHOPEDIC & SPORTS PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-04",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A",
        "authorized_official_last_name": "KNISLEY",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "850-545-5318"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apalachicola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.