Organization Active NPI

Rehabit Physical Therapy

  • Physical Therapist
  • Fort Walton Beach, FL
National Provider Identifier
1962186239
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
REHABIT PHYSICAL THERAPY
Practice address
45 W Audrey Dr NW
Fort Walton Beach, FL 32548-4591
Phone
(205) 919-9349
NPI assigned
Jun 14, 2023
Last updated
Jun 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Authorized official

Name
Michael Travers, DPTNPI 1629444757
Title
Physical Therapist
Phone
(205) 919-9349

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

45 W Audrey Dr NW
Fort Walton Beach, FL 32548-4591

Mailing address

45 W Audrey Dr NW
Fort Walton Beach, FL 32548-4591
Phone (205) 919-9349

National Provider Directory

National Provider Directory

Locations

45 W Audrey Dr NW
Fort Walton Beach, FL 32548
Phone (205) 919-9349

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1962186239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 W AUDREY DR NW",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325484591",
            "telephone_number": "205-919-9349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 W AUDREY DR NW",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325484591",
            "telephone_number": "205-919-9349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABIT PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "TRAVERS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "205-919-9349",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.