Individual provider Active NPI

Lincoln Norris

  • Physical Therapist
  • Niceville, FL
National Provider Identifier
1831895515
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT39905 Issued in FL
Practice address
1950 Bluewater Blvd Ste 101
Niceville, FL 32578-3888
Phone
(850) 897-3334
Fax
(850) 279-6660
NPI assigned
Feb 3, 2023
Last updated
Feb 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT39905 FL Primary

Addresses

Primary practice location

1950 Bluewater Blvd Ste 101
Niceville, FL 32578-3888

Mailing address

1950 Bluewater Blvd Ste 101
Niceville, FL 32578-3888
Phone (850) 897-3334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230320000513 FL Practitioner - Physical Therapist in Private Practice 8022482876 Reassigns benefits to 1 organization
Practice locations: Niceville, FL
I20250408000098 TN Practitioner - Physical Therapist in Private Practice 8022482876 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of South Florida College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sport and SpineGroup PAC ID 9032497938, 2 clinicians

Practice addresses (Care Compare)

6204 Hixson Pike
Suite 112
Hixson, TN 37343-5072
Phone (423) 654-3020

Merit-based Incentive Payment System (MIPS)

Final score
52.44 of 100Reported as group
Quality
0
Improvement activities
40
Cost
74.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sport & Spine Physical Therapist CurrentSince Feb 19, 2025 Accepting new patients
Orthopedic & Sports Physical Therapy Center LLC CurrentSince Feb 6, 2023 Accepting new patients
Orthopedic & Sports Physical Therapy Center LLC CurrentSince Feb 6, 2023 Accepting new patients
CHI National Home Care, LLC Past Accepting new patients

Locations

1950 Bluewater Blvd
Ste 101
Niceville, FL 32578
Phone (850) 897-3334

455 Chickamauga Dr
Ste 101
Dayton, TN 37321
Phone (423) 428-9156

6204 Hixson Pike
Ste 112
Hixson, TN 37343
Phone (423) 531-3989

Networks

  • Freedom Health HMO Network

Organizations & group practices 4

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": "1675382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1831895515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 BLUEWATER BLVD STE 101",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325783888",
            "telephone_number": "850-897-3334",
            "fax_number": "850-279-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 BLUEWATER BLVD STE 101",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325783888",
            "telephone_number": "850-897-3334",
            "fax_number": "850-279-6660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORRIS",
        "first_name": "LINCOLN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-03",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT39905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 6, 2023; 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.