NPIMap

Organization Active NPI

Premier Rehab Management, LLC

  • Physical Therapist
  • Panama City Beach, FL
National Provider Identifier
1700219599
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PREMIER REHAB MANAGEMENT, LLC
Practice address
16201 Panama City Beach Pkwy
Suite a
Panama City Beach, FL 32413-5301
Phone
(678) 932-3629
Fax
(770) 423-3369
NPI assigned
Aug 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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

Authorized official

Name
Carmen Philpot
Title
Director Revenue Cycle
Phone
(678) 403-3568

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

16201 Panama City Beach Pkwy
Suite a
Panama City Beach, FL 32413-5301

Mailing address

PO Box 441146
Kennesaw, GA 30160-9522
Phone (770) 917-1395

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120418000648 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1951586890 Receives reassigned benefits from 26 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Navarre, FL; Santa Rosa Beach, FL

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

16201 Panama City Beach Pkwy
#A
Panama City, FL 32413
Phone (850) 250-0826

202 Marina Dr
#302
Port Saint Joe, FL 32456
Phone (850) 588-0238

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565913600000",
    "number": "1700219599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 441146",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301609522",
            "telephone_number": "770-917-1395",
            "fax_number": "770-423-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16201 PANAMA CITY BEACH PKWY",
            "address_2": "SUITE A",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324135301",
            "telephone_number": "678-932-3629",
            "fax_number": "770-423-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER REHAB MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-15",
        "last_updated": "2019-08-16",
        "status": "A",
        "authorized_official_last_name": "PHILPOT",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "DIRECTOR REVENUE CYCLE",
        "authorized_official_telephone_number": "678-403-3568"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.