Active NPI
Patients First Physical Therapy
- Physical Therapist
- Marianna, FL
National Provider Identifier
1992993596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT17330
- Legal business name
- PATIENTS FIRST PHYSICAL THERAPY
- Practice address
- 4966 Highway 90
Marianna, FL 32446-6814 - Phone
- (850) 526-4766
- Fax
- (850) 526-4866
- NPI assigned
- Oct 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Patricia Hoff Gortemoller, PTA
- Title
- Ceo
- Phone
- (850) 526-4766
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT17330 | FL | Primary |
Addresses
Primary practice location
4966 Highway 90
Marianna, FL 32446-6814
Mailing address
4966 Highway 90
Marianna, FL 32446-6814
Phone (850) 526-4766
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 886499300 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
4966 Highway 90
Marianna, FL 32446
Phone (850) 526-4766
4966 Highway 90
Ste A
Marianna, FL 32446
Phone (850) 526-4766
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Massage Therapist
- Marianna, FL
- NPI 1417156159
-
- Registered Dietitian
- Blountstown, FL
- NPI 1629163241
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191888000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1327017600000",
"number": "1992993596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4966 HIGHWAY 90",
"city": "MARIANNA",
"state": "FL",
"postal_code": "324466814",
"telephone_number": "850-526-4766",
"fax_number": "850-526-4866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4966 HIGHWAY 90",
"city": "MARIANNA",
"state": "FL",
"postal_code": "324466814",
"telephone_number": "850-526-4766",
"fax_number": "850-526-4866"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATIENTS FIRST PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-09",
"last_updated": "2012-01-20",
"status": "A",
"authorized_official_last_name": "GORTEMOLLER",
"authorized_official_first_name": "PATRICIA",
"authorized_official_middle_name": "HOFF",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "850-526-4766",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "PTA"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT17330",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "886499300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marianna, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.