Active NPI
Annabelle Cummins
- Physical Therapist
- Santa Rosa Beach, FL
National Provider Identifier
1801246483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT31495
- Practice address
- 249 Mack Bayou Loop
Suite 101
Santa Rosa Beach, FL 32459-7198 - Phone
- (770) 917-1395
- Fax
- (770) 423-3369
- NPI assigned
- Jun 15, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT31495 | FL | Primary |
| Physical Therapist | 225100000X | 5107 | OK |
Addresses
Primary practice location
249 Mack Bayou Loop
Suite 101
Santa Rosa Beach, FL 32459-7198
Mailing address
PO Box 441146
Kennesaw, GA 30160-9522
Phone (770) 917-1395
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5107 | OK | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Rehab Management, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Navarre, FL
- NPI 1821014390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465948800000",
"number": "1801246483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 441146",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301609522",
"telephone_number": "770-917-1395",
"fax_number": "770-423-3369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "249 MACK BAYOU LOOP",
"address_2": "SUITE 101",
"city": "SANTA ROSA BEACH",
"state": "FL",
"postal_code": "324597198",
"telephone_number": "770-917-1395",
"fax_number": "770-423-3369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUMMINS",
"first_name": "ANNABELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-15",
"last_updated": "2016-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT31495",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "5107",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.