Compass Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

HCC7395 Issued in FL

Legal business name

COMPASS PHYSICAL THERAPY

Practice address

180 Poinciana Blvd
Suite #4
Destin, FL 32550-7049

Phone

(850) 269-1717

Fax

(850) 276-2022

NPI assigned

Mar 23, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Diane M. Cook

Title

Office Manager

Phone

(850) 763-0505

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Compass Physical Therapy4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Compass Physical Therapy

  • Physical Therapy Clinic/Center
  • Callaway, FL
  • NPI 1134307986
  NPD tax ID
• Compass Physical Therapy

  • Physical Therapy Clinic/Center
  • Wewahitchka, FL
  • NPI 1467579441
  NPD tax ID
• Compass Physical Therapy

  • Physical Therapy Clinic/Center
  • Panama City Beach, FL
  • NPI 1679690655
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jo Elizabeth Blazer, PTA

  • Physical Therapist
  • Destin, FL
  • NPI 1235258948
  NPD (past)
• Loretta G Gambrell, PT

  • Pediatric Physical Therapist
  • Panama City, FL
  • NPI 1003844663
  NPD (past)
• Louie Watkins III

  • Physical Therapist
  • Pensacola, FL
  • NPI 1568589588
  NPD (past)

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891812889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 POINCIANA BLVD",
            "address_2": "SUITE #4",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325507049",
            "telephone_number": "850-269-1717",
            "fax_number": "850-276-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 POINCIANA BLVD",
            "address_2": "SUITE #4",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325507049",
            "telephone_number": "850-269-1717",
            "fax_number": "850-276-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "850-763-0505"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "HCC7395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "Y905D",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Coastal Vascular and Interventional PLLC
• Johannes Hendrik Coetzee, MD, MPH
• Comfortable Care Dental Health Professionals, P.a. (The Center for Cosmetic and Family Dentistry - Destin)
• Commons Drive Family Medicine
• Commons Drive Family Medicine, LLC
• Christine Clare Condit
• Richard E Corley, D.D.S
• Shayann Crabtree
• Emerson Kathleen Crawford, AUD-CCC.A
• Crest Custom Mobility LLC

• Physical Therapy Clinic/Center in Destin, FL
• Providers in Destin, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.