Individual provider Active NPI

Paetyn T Gassett, DPT

  • Orthopedic Physical Therapist
  • Crestview, FL
National Provider Identifier
1740857176
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
41136 Issued in FL
Practice address
5300 S Ferdon Blvd
Crestview, FL 32536-5235
Phone
(856) 863-2183
NPI assigned
Jun 4, 2021
Last updated
Jun 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 41136 FL Primary

Addresses

Primary practice location

5300 S Ferdon Blvd
Crestview, FL 32536-5235

Mailing address

5300 S Ferdon Blvd
Crestview, FL 32536-5235

Other practice location 1

249 Mack Bayou Loop Ste 101
Santa Rosa Beach, FL 32459-7197
Phone (850) 622-0842

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210622002815 IL Practitioner - Physical Therapist in Private Practice 5193126654 Reassigns benefits to 1 organization
I20240722001871 FL Practitioner - Physical Therapist in Private Practice 5193126654 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.79 of 100Reported as group
Quality
64.42
Promoting interoperability
100
Improvement activities
40
Cost
74.88

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Jun 8, 2021 Accepting new patients
Premier Rehab Management, LLC Physical Therapist CurrentSince Jul 15, 2024 Accepting new patients
Axis Physiotherapy Institute, LLC Physical Therapist CurrentSince Nov 18, 2024 Accepting new patients
Premier Rehab Management, LLC Physical Therapist CurrentSince Jul 15, 2024 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Jun 8, 2021 Accepting new patients
North Florida Surgeons, PA CurrentSince Sep 1, 2024 Accepting new patients
North Florida Surgeons, PA CurrentSince Sep 1, 2024 Accepting new patients
Foundation Health Systems LLC Physical Therapist Past Accepting new patients

Locations

5300 S Ferdon Blvd
Crestview, FL 32536
Phone (850) 344-1646

1034 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 344-1646

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

11945 San Jose Blvd
Ste 102
Jacksonville, FL 32223
Phone (904) 268-3937

8199 Navarre Pkwy
#12A
Navarre, FL 32566
Phone (850) 939-1233

1827 Harrison Ave
Panama City, FL 32405
Phone (850) 785-4344

249 Mack Bayou Loop
Ste 101
Santa Rosa Beach, FL 32459
Phone (850) 622-0842

1640 N Wells St
Unit 105
Chicago, IL 60614
Phone (312) 642-8114

280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088

Organizations & group practices 8

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": "1622764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1740857176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 S FERDON BLVD",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325365235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 S FERDON BLVD",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325365235",
            "telephone_number": "856-863-2183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "249 Mack Bayou Loop Ste 101",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa Beach",
            "state": "FL",
            "postal_code": "324597197",
            "country_code": "US",
            "telephone_number": "850-622-0842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GASSETT",
        "first_name": "PAETYN",
        "middle_name": "T",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-04",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "41136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.