Individual provider Active NPI

Annabelle Cummins

  • Physical Therapist
  • Santa Rosa Beach, FL
National Provider Identifier
1801246483
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT31495 Issued in FL
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

Updated by the provider on Jun 15, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
5107OKMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.