Apalachicola Physical Therapy Inc
Organization Active NPI Specialist · Apalachicola, FL
NPI 1659599702 · NPPES record last updated Jun 20, 2008
Key facts
- NPI
- 1659599702
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- License
- PT12314 (FL)
- Legal business name
- APALACHICOLA PHYSICAL THERAPY INC
- Practice address
- 111 Avenue E
Apalachicola, FL 32320-2041 - Phone
- (850) 653-4545
- Fax
- (850) 653-4949
- NPI assigned
- Apr 23, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Charles Thomas Brocato, DPT
- Title
- Owner
- Phone
- (850) 653-1212
Practitioners 3
-
Angela M Knox, MS CCC/SLP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080710000423 | FL | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 8022180850 |
Receives reassigned benefits from 1 practitioner Practice locations: Apalachicola, FL |
National Provider Directory
Locations
1621 Highway 98 W
Carrabelle, FL 32322
Phone (850) 653-4545
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | PT12314 | FL | Yes |
Addresses
Primary practice location
111 Avenue E
Apalachicola, FL 32320-2041
Mailing address
PO Box 207
Apalachicola, FL 32329-0207
Phone (850) 653-4545
Other providers in Apalachicola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.