Active NPI
Tonie Lyn Peasley, OTR/L
- Occupational Therapist
- Crestview, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT3119
- Practice address
- 930 N Ferdon Blvd
Crestview, FL 32536-1706 - Phone
- (850) 331-2987
- Fax
- (850) 398-5008
- NPI assigned
- May 31, 2011
- Last updated
- Sep 30, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT3119 | FL | Primary |
Addresses
Primary practice location
930 N Ferdon Blvd
Crestview, FL 32536-1706
Mailing address
930 N Ferdon Blvd
Crestview, FL 32536-1706
Phone (850) 331-2987
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003712300 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | tonie.absolutetherapy@gmail.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1034 Mar Walt Dr
Fort Walton Beach, FL 32547-6645
Phone (850) 344-1646
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT3119 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Florida Surgeons, PA | Current | Accepting new patients | |
| North Florida Surgeons, PA | Current | Accepting new patients | |
| Triple E OT Inc | Past | Accepting new patients | |
| Triple E OT, Inc | Occupational Therapist | Past | Accepting new patients |
Locations
5300 S Ferdon Blvd
Crestview, FL 32536
Phone (850) 344-1646
36468 Emerald Coast Pkwy
Ste 1101
Destin, FL 32541
Phone (850) 290-2154
1340 S 18th St
Ste 104
Fernandina Beach, FL 32034
Phone (904) 277-3277
1034 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 344-1646
11945 San Jose Blvd
Ste 102
Jacksonville, FL 32223
Phone (904) 268-3937
Interoperability endpoints
- tonie.peasley.1@9109.direct.athenahealth.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- Jacksonville, FL
- NPI 1912953290
-
dba NFS Florida Bone and Joint
- Orthopaedic Surgery Physician
- Gulf Breeze, FL
- NPI 1871442053
-
- Pediatric Occupational Therapist
- Crestview, FL
- NPI 1710271374
-
- Occupational Therapist
- Defuniak Springs, FL
- NPI 1720395759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632960000000",
"number": "1588958276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "930 N FERDON BLVD",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325361706",
"telephone_number": "850-331-2987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 N FERDON BLVD",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325361706",
"telephone_number": "850-331-2987",
"fax_number": "850-398-5008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEASLEY",
"first_name": "TONIE",
"middle_name": "LYN",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-31",
"last_updated": "2021-09-30",
"certification_date": "2021-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT3119",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003712300",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "tonie.absolutetherapy@gmail.com",
"affiliation": "N",
"address_1": "930 N Ferdon Blvd",
"city": "Crestview",
"state": "FL",
"country_code": "US",
"postal_code": "325361706",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Crestview, FL
- Becky Christine Patterson, LCSW
- Christina Patterson
- Haley Rebecca Paulk, PT, DPT
- Pax Cardiovascular Specialists LLC
- Peachy Orchard LLC
- Pensacola Nephrology, PA (Renalus Center for Kidney Care)
- Gary Charles Perez, PHYSICIAN ASSISTANT
- Sherry Nicole Perez
- Performance Prosthetics & Orthotics, PL
- Samaria Perkins
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.