Organization Active NPI

Emerald Coast Therapy Centers, Inc.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Pensacola, FL
National Provider Identifier
1629082698
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
EMERALD COAST THERAPY CENTERS, INC.
Practice address
2411 Executive Plaza Rd
Pensacola, FL 32504-8269
Phone
(850) 473-9707
Fax
(850) 476-9519
NPI assigned
Jul 27, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Mr. Donald R Padget
Title
President
Phone
(850) 473-9707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X Primary

Addresses

Primary practice location

2411 Executive Plaza Rd
Pensacola, FL 32504-8269

Mailing address

2411 Executive Plaza Rd
Pensacola, FL 32504-8269
Phone (850) 473-9707

National Provider Directory

National Provider Directory
Tax ID family
Emerald Coast Therapy Centers Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2411 Executive Plaza Rd
Pensacola, FL 32504
Phone (850) 476-0700

295 1st St S
Ste 2
Winter Haven, FL 33880
Phone (863) 291-8644

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629082698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 EXECUTIVE PLAZA RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048269",
            "telephone_number": "850-473-9707",
            "fax_number": "850-476-9519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 EXECUTIVE PLAZA RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048269",
            "telephone_number": "850-473-9707",
            "fax_number": "850-476-9519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD COAST THERAPY CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PADGET",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-473-9707",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, 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.