Organization Active NPI

Compass Physical Therapy, LLC

  • Physical Therapist
  • Panama City, FL
National Provider Identifier
1568498236
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
HCC5287 Issued in FL
Legal business name
COMPASS PHYSICAL THERAPY, LLC
Practice address
807 N Tyndall Pkwy
Panama City, FL 32404-9495
Phone
(850) 763-0505
NPI assigned
Jun 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jennifer Von Maack
Title
Ceo, Owner
Phone
(850) 763-0505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X HCC5287 FL Primary

Addresses

Primary practice location

807 N Tyndall Pkwy
Panama City, FL 32404-9495

Mailing address

807 N Tyndall Pkwy
Panama City, FL 32404-9495
Phone (850) 763-0505

National Provider Directory

National Provider Directory

Locations

807 N Tyndall Pkwy
Panama City, FL 32404
Phone (850) 763-0505

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568498236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 N TYNDALL PKWY",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324049495",
            "telephone_number": "850-763-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 N TYNDALL PKWY",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324049495",
            "telephone_number": "850-763-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VON MAACK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CEO, OWNER",
        "authorized_official_telephone_number": "850-763-0505"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "HCC5287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.