Individual provider Active NPI

Elaine Dewey, DPT

  • Physical Therapist
  • Niceville, FL
National Provider Identifier
1740928118
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT42563 Issued in FL
Practice address
4554 E Highway 20
Niceville, FL 32578-9755
Phone
(850) 897-7772
Fax
(888) 308-1539
NPI assigned
May 25, 2022
Last updated
Dec 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT42563 FL Primary
Physical Therapist 225100000X
Physical Therapist 225100000X PTH11384 AL

Addresses

Primary practice location

4554 E Highway 20
Niceville, FL 32578-9755

Mailing address

PO Box 632673
Cincinnati, OH 45263-2673
Phone (850) 897-7772

Other practice location 1

6261 N La Cholla Blvd Ste 211
Tucson, AZ 85741-3564
Phone (520) 822-8640

Other practice location 2

50 Commons Way Ste D
Oxford, AL 36203-3490
Phone (256) 624-9722

Other names 1

  • Elaine Kearns Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, SC, FL, LA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20230629002830 AL Practitioner - Physical Therapist in Private Practice 1658759204 Reassigns benefits to 1 organization
I20240515004376 SC Practitioner - Physical Therapist in Private Practice 1658759204 Reassigns benefits to 1 organization
I20250930000076 FL Practitioner - Physical Therapist in Private Practice 1658759204 Reassigns benefits to 1 organization
I20260219001572 LA Practitioner - Physical Therapist in Private Practice 1658759204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brown Rogers LLCGroup PAC ID 5799750196, 12 clinicians

Practice addresses (Care Compare)

6723 Jefferson Hwy
Baton Rouge, LA 70806-8106
Phone (225) 926-2400

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as group
Quality
90
Improvement activities
40
Cost
75.04

Merit-based Incentive Payment System (MIPS)

Final score
86.04 of 100Reported as group
Quality
90
Improvement activities
40
Cost
71.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12193SCMDPharmacist
PTH11384ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Womens Manual Physical Therapy LLC Physical Therapist CurrentSince Sep 15, 2025 Accepting new patients
Ati Holdings of Alabama, LLC Physical Therapist CurrentSince Jun 20, 2023 Accepting new patients
Greenville Proaxis Therapy, LLC Physical Therapist CurrentSince Jan 22, 2024 Accepting new patients
Greenville Proaxis Therapy LLC CurrentSince Jan 22, 2024 Accepting new patients
Brown Rogers LLC Physical Therapist CurrentSince Jan 6, 2026 Accepting new patients
Ideal Rehabilitation LLC Past Accepting new patients

Locations

1877 Cherokee Ave SW
Cullman, AL 35055
Phone (256) 727-1701

50 Commons Way
Ste D
Oxford, AL 36203
Phone (256) 403-2807

728 N Ferdon Blvd
Ste 3
Crestview, FL 32536
Phone (850) 682-7772

4554 E Highway 20
Niceville, FL 32578
Phone (850) 279-6267

790 Remington Blvd
Bolingbrook, IL 60440

33205 Collection Ctr Dr
Chicago, IL 60693

8801 Bluebonnet Blvd
Baton Rouge, LA 70810
Phone (225) 926-2400

103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753

727 SE Main St
Ste 200
Simpsonville, SC 29681
Phone (864) 454-6670

Organizations & group practices 6

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": "1653436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1740928118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632673",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452632673",
            "telephone_number": "850-897-7772",
            "fax_number": "888-308-1539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4554 E HIGHWAY 20",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325789755",
            "telephone_number": "850-897-7772",
            "fax_number": "888-308-1539"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6261 N La Cholla Blvd Ste 211",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857413564",
            "country_code": "US",
            "telephone_number": "520-822-8640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Commons Way Ste D",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "AL",
            "postal_code": "362033490",
            "country_code": "US",
            "telephone_number": "256-624-9722",
            "fax_number": "256-371-6378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEWEY",
        "first_name": "ELAINE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-25",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT42563",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH11384",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELAINE",
            "last_name": "KEARNS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Niceville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; 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.