Courtney Hydrick, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA30709 Issued in FL

Practice address

114 3Rd St SE
Fort Walton Beach, FL 32548-5401

Phone

(850) 243-6134

NPI assigned

Nov 16, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1700092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1831964196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 PARTRIDGE DR",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325394370",
            "telephone_number": "205-616-2529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 3RD ST SE",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325485401",
            "telephone_number": "850-243-6134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYDRICK",
        "first_name": "COURTNEY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-16",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA30709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hutchison Chiropractic Center Inc.
• Rachel Selena Hutchison, D.C.
• Lailah Marie Hutto
• Thanh Huynh, APRN
• Tri Huu Huynh, D.O.
• Hyperbaric Medicine, Inc.
• James L Igleburger, MD
• Iglepsych, Inc
• Uche Ike, MD
• Ann E Imburgio, L.M.H.C.

• Physical Therapy Assistant in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.