Physiotherapy Associates Inc

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

PHYSIOTHERAPY ASSOCIATES INC

Doing business as

Physio-PCB

Practice address

10800 Panama City Beach Pkwy
Suite 100
Panama City Beach, FL 32407-2533

Phone

(850) 588-6852

Fax

(850) 588-6847

NPI assigned

Sep 11, 2013

Last updated

Nov 12, 2018By 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

Mr. Michael E Tarvin

Title

Vice President and Secretary

Phone

(717) 972-1100

Specialties & licenses 1

Addresses

Other names 1

• Physio-PCB Doing business as

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541980800000",
    "number": "1912332867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "address_2": "LEGAL DEPARTMENT",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554325",
            "telephone_number": "717-972-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 PANAMA CITY BEACH PKWY",
            "address_2": "SUITE 100",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324072533",
            "telephone_number": "850-588-6852",
            "fax_number": "850-588-6847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIOTHERAPY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-11",
        "last_updated": "2018-11-12",
        "status": "A",
        "authorized_official_last_name": "TARVIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "VICE PRESIDENT AND SECRETARY",
        "authorized_official_telephone_number": "717-972-1100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physio-PCB",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Physio-PCB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ariel Perry, PA-C
• Dylan Scott Peters, PT, DPT
• Cody Mitchell Phillips, MD
• Janice L.Ynn Phillips, M.S., CCCSLP
• Physiotherapy Associates Inc (Physio-PCB ALF)
• William Charles Pike, O.D.
• Autumn Pittman
• Amanda Jo Plummer, LMT
• Joel Glenn Prather, PSY.D, LMHC
• Candida Jill Pratt, L.M.T

• Rehabilitation Clinic/Center in Panama City Beach, FL
• Providers in Panama City Beach, FL by specialty
• Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; 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.