NPIMap

Organization Active NPI

West Florida Medical Center Clinic, PA

Doing business as Physical Therapy

  • Physical Therapist
  • Pensacola, FL
National Provider Identifier
1962456806
Registry record updated May 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
WEST FLORIDA MEDICAL CENTER CLINIC, PA
Doing business as
Physical Therapy
Practice address
8333 North Davis Highway
Pensacola, FL 32514-6050
Phone
(850) 474-8000
Fax
(850) 474-8275
NPI assigned
May 22, 2006
Last updated
May 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2014

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

Authorized official

Name
Marshall Andy Popple Jr.
Title
Executive VP
Phone
(850) 474-8724

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

8333 North Davis Highway
Pensacola, FL 32514-6050

Mailing address

8333 N Davis Hwy
Pensacola, FL 32514-6050
Phone (850) 474-8100

Other identifiers 2

IdentifierTypeStateIssuer
Y906KOtherBSFL GROUP
891148700MedicaidFL

Other names 1

  • Physical Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
D Mayeaux MD3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400630400000",
    "number": "1962456806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8333 N DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325146050",
            "telephone_number": "850-474-8100",
            "fax_number": "850-474-8083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8333 NORTH DAVIS HIGHWAY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325146050",
            "telephone_number": "850-474-8000",
            "fax_number": "850-474-8275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST FLORIDA MEDICAL CENTER CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2014-05-21",
        "status": "A",
        "authorized_official_last_name": "POPPLE",
        "authorized_official_first_name": "MARSHALL",
        "authorized_official_middle_name": "ANDY",
        "authorized_official_title_or_position": "EXECUTIVE VP",
        "authorized_official_telephone_number": "850-474-8724",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSFL GROUP",
            "identifier": "Y906K",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891148700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; 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.