Jeannette McAllister, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT31318 Issued in FL

Practice address

1823 Hurlburt Road
Unit 4
Fort Walton Beach, FL 32547

Phone

(850) 244-0120

Fax

(850) 244-0126

NPI assigned

Aug 18, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jeannette Demchuk Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Primetime Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Fort Walton Beach, FL
  • NPI 1083911754

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1692316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1669255923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1823 HURLBURT ROAD",
            "address_2": "UNIT 4",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "32547",
            "telephone_number": "850-244-0120",
            "fax_number": "850-244-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1823 HURLBURT ROAD",
            "address_2": "UNIT 4",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "32547",
            "telephone_number": "850-244-0120",
            "fax_number": "850-244-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCALLISTER",
        "first_name": "JEANNETTE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-18",
        "last_updated": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT31318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANNETTE",
            "last_name": "DEMCHUK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert Eugene Mayor II, LMHC
• Tamara Joanne Mays, M.S., CCC-SLP, BCBA
• Lawrence Mazzarella, PHARM.D
• Jeri Marie McAliley, DPT
• Alexandrea S McAllaster, LMT, CHTP
• Sage McArthur
• Marianne C. McAuliffe, LCSW
• Eleanor A McCain, MD
• Marianne L McCain, PH.D.
• Marielle McClellan-Jung

• Physical Therapist in Fort Walton Beach, FL
• Providers in Fort Walton 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 Aug 18, 2023; 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.