NPIMap

Organization Active NPI

White Sands Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Ft. Walton Beach, FL
National Provider Identifier
1780652941
Registry record updated Apr 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
250750708034 Issued in FL
Legal business name
WHITE SANDS PHYSICAL THERAPY INC
Practice address
600 Opp Drive
Ft. Walton Beach, FL 32548-4493
Phone
(850) 301-1935
Fax
(850) 301-1937
NPI assigned
Mar 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2013

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

Authorized official

Name
Robert P Mann, PT OCS
Title
Director
Phone
(850) 301-1935

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 250750708034 FL Primary

Addresses

Primary practice location

600 Opp Drive
Ft. Walton Beach, FL 32548-4493

Mailing address

600 Opp Drive
Ft. Walton Beach, FL 32548-4493
Phone (850) 301-1935

National Provider Directory

National Provider Directory

Locations

600 Opp Dr
Ft Walton Bch, FL 32548
Phone (850) 301-1935

Practitioners & affiliated clinicians

Practitioners 8

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": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364860800000",
    "number": "1780652941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 OPP DRIVE",
            "city": "FT. WALTON BEACH",
            "state": "FL",
            "postal_code": "325484493",
            "telephone_number": "850-301-1935",
            "fax_number": "850-301-1937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 OPP DRIVE",
            "city": "FT. WALTON BEACH",
            "state": "FL",
            "postal_code": "325484493",
            "telephone_number": "850-301-1935",
            "fax_number": "850-301-1937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE SANDS PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2013-04-02",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "850-301-1935",
        "authorized_official_credential": "PT OCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "250750708034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft. Walton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.