Active NPI
Panhandle Therapy Center LLC
- Case Management Agency
- Blountstown, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- PANHANDLE THERAPY CENTER LLC
- Practice address
- 20274 Central Ave W
Blountstown, FL 32424-1957 - Phone
- (850) 674-8888
- Fax
- (850) 237-1223
- NPI assigned
- Jul 21, 2022
- Last updated
- Jan 8, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Heather Montford King
- Title
- Ceo/Director
- Phone
- (850) 447-4546
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | NU | Primary |
Addresses
Primary practice location
20274 Central Ave W
Blountstown, FL 32424-1957
Mailing address
20311 Central Ave W
Blountstown, FL 32424-1947
Phone (850) 674-8888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111578300 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Panhandle Therapy Center LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Medical Laboratory
- Blountstown, FL
- NPI 1386454726
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Blountstown, FL
- NPI 1457981888
Locations
20311 Central Ave W
Blountstown, FL 32424
Phone (850) 674-8888
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Blountstown, FL
- NPI 1992040034
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658361600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736294400000",
"number": "1740915974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20311 CENTRAL AVE W",
"city": "BLOUNTSTOWN",
"state": "FL",
"postal_code": "324241947",
"telephone_number": "850-674-8888",
"fax_number": "850-237-1223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20274 CENTRAL AVE W",
"city": "BLOUNTSTOWN",
"state": "FL",
"postal_code": "324241957",
"telephone_number": "850-674-8888",
"fax_number": "850-237-1223"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PANHANDLE THERAPY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-21",
"last_updated": "2025-01-08",
"certification_date": "2025-01-08",
"status": "A",
"authorized_official_last_name": "KING",
"authorized_official_first_name": "HEATHER",
"authorized_official_middle_name": "MONTFORD",
"authorized_official_title_or_position": "CEO/DIRECTOR",
"authorized_official_telephone_number": "850-447-4546"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "111578300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Blountstown, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.