Individual provider Active NPI

Robert James Seton, MPT, OCS

  • Physical Therapist
  • Destin, FL
National Provider Identifier
1740217967
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT8664 Issued in FL
Practice address
12671 Hwy 98 W
Suite 213
Destin, FL 32550
Phone
(850) 650-4186
Fax
(850) 650-4188
NPI assigned
Jun 26, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 PT8664 FL Primary

Addresses

Primary practice location

12671 Hwy 98 W
Suite 213
Destin, FL 32550

Mailing address

12671 US Highway 98 W
Suite 213
Destin, FL 32550-8300
Phone (850) 650-4186

Other identifiers 1

IdentifierTypeStateIssuer
Y906XOtherFLBCBSFL GROUP #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041110001223 FL Practitioner - Physical Therapist in Private Practice 5395739189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
52.44 of 100Reported as group
Quality
0
Improvement activities
40
Cost
74.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic & Sports Physical Therapy Center LLC CurrentSince Feb 1, 2005 Accepting new patients
Orthopedic & Sports Physical Therapy Center LLC Current Accepting new patients
Orthopedic & Sports Physical Therapy Center LLC Past Accepting new patients
Orthopedic & Sports Physical Therapy Center LLC Physical Therapist Past Accepting new patients
Orthopedic & Sports Physical Therapy Center LLC Past Accepting new patients

Locations

12671 US Highway 98 W
Unit 213
Destin, FL 32550
Phone (850) 650-4186

1950 Bluewater Blvd
Ste 101
Niceville, FL 32578
Phone (850) 897-3334

Organizations & group practices 5

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1740217967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12671 US HIGHWAY 98 W",
            "address_2": "SUITE 213",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325508300",
            "telephone_number": "850-650-4186",
            "fax_number": "850-650-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12671 HWY 98 W",
            "address_2": "SUITE 213",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "32550",
            "telephone_number": "850-650-4186",
            "fax_number": "850-650-4188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SETON",
        "first_name": "ROBERT",
        "middle_name": "JAMES",
        "credential": "MPT, OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT8664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL GROUP #",
            "identifier": "Y906X",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 9, 2007; 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.