Individual provider Active NPI

Summer Strickland, DPT

  • Physical Therapist
  • Destin, FL
National Provider Identifier
1710718879
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT37847 Issued in FL
Practice address
36474C Emerald Coast Pkwy Ste 3101
Destin, FL 32541-6701
Phone
(850) 863-2153
NPI assigned
Aug 12, 2024
Last updated
Aug 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT37847 FL Primary

Addresses

Primary practice location

36474C Emerald Coast Pkwy Ste 3101
Destin, FL 32541-6701

Mailing address

1274 27TH St
Niceville, FL 32578-2836
Phone (334) 790-1636

Other names 1

  • Mrs. Summer Justice Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241204002550 FL Practitioner - Physical Therapist in Private Practice 4688100464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Axis Physiotherapy Institute, LLCGroup PAC ID 2860825353, 11 clinicians

Practice addresses (Care Compare)

130 Marquis Way
Suite 105
Freeport, FL 32439-4477
Phone (850) 880-6085

339 Racetrack Rd NW
Suite 20
Fort Walton Beach, FL 32547-1581
Phone (850) 374-8158

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT37847FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Axis Physiotherapy Institute, LLC Physical Therapist CurrentSince Nov 18, 2024 Accepting new patients

Locations

339 Racetrack Rd NW
Ste 20
Ft Walton Bch, FL 32547
Phone (850) 374-8158

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1710718879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1274 27TH ST",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325782836",
            "telephone_number": "334-790-1636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36474C EMERALD COAST PKWY STE 3101",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325416701",
            "telephone_number": "850-863-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRICKLAND",
        "first_name": "SUMMER",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT37847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUMMER",
            "last_name": "JUSTICE",
            "prefix": "MRS.",
            "credential": "DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Destin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.

Verify at the official NPI Registry.