Organization Active NPI

Peaden Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Panama City, FL
National Provider Identifier
1750827168
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT19638 Issued in FL
Legal business name
PEADEN PHYSICAL THERAPY, PLLC
Doing business as
Restore Physical Therapy
Practice address
306 E 19TH St Ste a
Panama City, FL 32405-4743
Phone
(850) 248-0241
Fax
(850) 248-0237
NPI assigned
Jan 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Authorized official

Name
Stephen P PeadenNPI 1164423356
Title
Owner
Phone
(850) 248-0241

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT19638 FL Primary

Addresses

Primary practice location

306 E 19TH St Ste a
Panama City, FL 32405-4743

Mailing address

306 E 19TH St Ste a
Panama City, FL 32405-4743
Phone (850) 381-0284

Other names 1

  • Restore Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170612001522 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9537437728 Receives reassigned benefits from 2 practitioners
Practice locations: Panama City, FL

National Provider Directory

National Provider Directory

Locations

3009 Highway 77
Ste O
Panama City, FL 32405
Phone (850) 248-0241

306 E 19th St
Ste A
Panama City, FL 32405
Phone (850) 248-0241

3009 Highway 77
Ste G
Panama City, FL 32405
Phone (850) 248-0241

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786406400000",
    "number": "1750827168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 E 19TH ST STE A",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054743",
            "telephone_number": "850-381-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 E 19TH ST STE A",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054743",
            "telephone_number": "850-248-0241",
            "fax_number": "850-248-0237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEADEN PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-09",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A",
        "authorized_official_last_name": "PEADEN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-248-0241"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT19638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restore Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.