TY PETERSON (NPI# 1225406226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225406226 |
| Entity Type | Individual |
| Full Name | TY PETERSON |
| Credential | D.P.T. |
| Practice Address |
3801 E Highway 98 Port St Joe FL 32456-5318 |
| Mailing Address |
3116 E 3rd St Panama City FL 32401-5643 |
| Practice Telephone | 8502295600 |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2015-09-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
30355 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689234437 | Ty Peterson | Dentist | 325 Main St, Gooding, ID 83330-1302 | 2019-06-14 |
| Street Address |
3801 E HIGHWAY 98 |
| City | PORT ST JOE |
| State | FL |
| Zip Code | 32456-5318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447201447 | Joseph W. Heflin | Internal Medicine | 3801 E Highway 98, Suite 203, Port St Joe, FL 32456-5318 | 2006-05-14 |
| 1417297193 | Luthgarda Sta. Maria Del Pilar | Physical Therapist | 3801 E Highway 98, Suite 100, Port St Joe, FL 32456-5318 | 2013-02-18 |
| 1508105610 | Sacred Heart On The Gulf | Rehabilitation Hospital | 3801 E Highway 98, Port St Joe, FL 32456-5318 | 2013-02-08 |
| 1083975148 | Edilma Duval | Physical Therapist | 3801 E Highway 98, Port St Joe, FL 32456-5318 | 2012-06-06 |
| 1649544636 | Monica Pineda | Physical Therapist | 3801 E Highway 98, Port St Joe, FL 32456-5318 | 2012-03-08 |
| 1710269071 | Sacred Heart On The Gulf | General Acute Care Hospital | 3801 E Highway 98, Port St Joe, FL 32456-5318 | 2011-09-13 |
| 1396030748 | Joshua Thomas James | Emergency Medicine | 3801 E Highway 98, Er, Port St Joe, FL 32456-5318 | 2011-06-14 |
| 1083941678 | Sacred Heart Hospital On The Gulf | Medicare Defined Swing Bed Unit | 3801 E Highway 98, Port St Joe, FL 32456-5318 | 2009-11-03 |
| 1285846766 | Stephanie Margaret Johnson | Emergency Medicine | 3801 E Highway 98, Er, Port St Joe, FL 32456-5318 | 2007-05-04 |
| 1518003995 | Kimberly Thomas Wagner | Physical Therapist | 3801 E Highway 98, Port St Joe, FL 32456-5318 | 2007-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609379825 | Melanie Q Larry | Case Manager/Care Coordinator | 212 W. Highway 98, Suite C Town Center Plaza, Port St. Joe, FL 32456 | 2018-03-14 |
| 1972029833 | Tem Medical | Internal Medicine | 220 9th Street, Port St Joe, FL 32456 | 2017-08-22 |
| 1770018731 | Gulf County Association for Retarded Citizens, Inc. | Non-emergency Medical Transport (VAN) | 122 Water Plant Road, Port St Joe, FL 32456 | 2017-04-27 |
| 1477815488 | Patricia J Mitchell | Nurse Practitioner | 256 Canal Street, Port Saint Joe, FL 32456 | 2012-06-14 |
| 1407135296 | Chrystal R Cox | Occupational Therapist | 6801 Us Highway 98, Port St. Joe, FL 32456 | 2011-08-10 |
| 1467662957 | William Rex Buzzett | Pharmacist | 302 Cecil G Costin Blvd, Port St Joe, FL 32456 | 2007-05-23 |
| 1831293802 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 110 Hwy 98, Port Saint Joe, FL 32456 | 2006-09-12 |
| 1427160571 | Shoreline Medical Group, P.a. | Internal Medicine | 419 Baltzell Ave, Port St Joe, FL 32456 | 2006-08-31 |
| 1851403992 | Elizabeth F Curry | Pediatrics | 3871 E Highway 98 Ste 201, Port St Joe, FL 32456 | 2006-08-31 |
| 1891715702 | Champion Medical Equipment Rental &sales LLC | Durable Medical Equipment & Medical Supplies | 324 Long Ave Port St, Joe, FL 32456 | 2006-07-20 |
| Find all providers in zip 32456 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003422064 | Purpose Physical Therapy and Wellness, LLC | Physical Therapist | 3369 10th St N, St Petersburg, FL 33704-1205 | 2020-09-16 |
| 1114532074 | Rezalo Health & Performance | Physical Therapist | 27402 Bonterra Loop Apt 401, Wesley Chapel, FL 33544-5165 | 2020-09-08 |
| 1578173217 | Katherine Herzfeld | Physical Therapist | 2954 Mallory Cir Ste 110, Celebration, FL 34747-1820 | 2020-08-07 |
| 1447875331 | Janelle Marie Fleites | Physical Therapist | 6190 Sw 116th St, Pinecrest, FL 33156-4957 | 2020-06-16 |
| 1154944155 | University of Central Florida | Physical Therapist | 4098 Libra Dr Ste 114, Orlando, FL 32816-8026 | 2020-05-26 |
| 1164044590 | Prestige Health & Performance | Physical Therapist | 20354 Chestnut Grove Dr, Tampa, FL 33647-3344 | 2020-05-07 |
| 1295356491 | Complex Somi LLC | Physical Therapist | 5829 Sw 73rd St Ste 2, South Miami, FL 33143-5276 | 2020-04-29 |
| 1952939043 | Fix It Physical Therapy, LLC | Physical Therapist | 8262 Griffin Rd, Davie, FL 33328-3715 | 2020-04-01 |
| 1649806449 | Korbin Joseph Keene | Physical Therapist | 1053 Medical Center Dr Ste 151, Orange City, FL 32763-8261 | 2020-03-13 |
| 1740814391 | Jessy Chang | Physical Therapist | 8615 S Tamiami Trl # 1, Sarasota, FL 34238-3052 | 2020-02-22 |
| Find all providers with the same taxonomy | ||||
| City | PORT ST JOE |
| Zip Code | 32456 |
Please comment or provide details below to improve the information on TY PETERSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.