Tracy Similuk, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

15058 Issued in FL

Practice address

100 Augusta Rd
Apt 121
Panama City Beach, FL 32407-0228

Phone

(850) 814-9711

NPI assigned

Jun 26, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Tracy Stahler Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403740800000",
    "number": "1588079743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 AUGUSTA RD",
            "address_2": "APT 121",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324070228",
            "telephone_number": "850-814-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 AUGUSTA RD",
            "address_2": "APT 121",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324070228",
            "telephone_number": "850-814-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMILUK",
        "first_name": "TRACY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-26",
        "last_updated": "2014-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "15058",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "60670",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "3626",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "002728",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "STAHLER",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eric Daniel Shide
• William F Shipman III, P A
• Crystal Amanda Shoemaker, LMT
• Desiree M Short, APRN, FNP-C
• Nora Shuff, DPT
• Tymetra N Simmons
• Brandon Simon
• Elena Gayle Simpkins, APRN
• Laurence Sitchon, DDS
• Hollen Ayers Slaughter

• 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 Jun 26, 2014; 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.