EMERALD COAST THERAPY CENTERS, INC. (NPI# 1629082698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629082698 |
| Entity Type | Organization |
| Organization Name | EMERALD COAST THERAPY CENTERS, INC. |
| Practice Address |
2411 Executive Plaza Rd Pensacola FL 32504-8269 |
| Practice Telephone | 8504739707 |
| Practice Fax Number | 8504769519 |
| Mailing Telephone | 8504739707 |
| Mailing Fax Number | 8504769519 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DONALD R PADGET (PRESIDENT) |
| Authorized Official Telephone | 8504739707 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Ambulatory Health Care Facilities |
| Street Address |
2411 EXECUTIVE PLAZA RD |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32504-8269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407831191 | Michael Van Riesberg | Otolaryngology | 2411 Executive Plaza Rd, Pensacola, FL 32504-8269 | 2005-12-14 |
| 1235211335 | Issa E. Ephtimios | Internal Medicine | 2411 Executive Plaza Rd, Suite A, Pensacola, FL 32504-8286 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659978393 | Quinyatta Stride | Behavior Technician | 2511 Creighton Rd., Pensacola, FL 32504 | 2020-10-06 |
| 1962017657 | Pt Solutions of Pensacola LLC | Occupational Therapist | 2114 Creighton Rd, Ste C, Pensacola, FL 32504 | 2020-09-10 |
| 1982226742 | Elevate Behavioral Solutions | Behavioral Analyst | 4045 Renoir St, Pensacola, FL 32504 | 2020-05-14 |
| 1760021349 | Veteran Evaluations of Florida | Internal Medicine | 2411 Executive Plaza Drive, Suite A, Pensacola, FL 32504 | 2019-12-31 |
| 1215575527 | First City Health LLC | Pharmacy | 6005 College Parkway, Suite 1, Pensacola, FL 32504 | 2019-12-17 |
| 1184261158 | Claire Ann Letendre | Audiologist | 5153 N 9th Ave Pediatric Off Building, Pensacola, FL 32504 | 2019-12-09 |
| 1083275101 | Benjamin Mcmillon | Chiropractor | 2629 Creighton Road, Suite 1, Pensacola, FL 32504 | 2019-06-28 |
| 1407342595 | Faryal Munir | Student in an Organized Health Care Education/Training Program | Uf Pediatric Residency 5151 North 9th Ave, 6th Floor Nemours, Pensacola, FL 32504 | 2018-07-02 |
| 1497252050 | Sibyl Tenille Page | Nurse Practitioner | 5147 N 9th Ave Ste 322, Pensacola, FL 32504 | 2018-04-10 |
| 1396272589 | Sacred Heart Hospital | General Acute Care Hospital | 2552 Carmel Heights Rd, Pensacola, FL 32504 | 2017-05-18 |
| Find all providers in zip 32504 | ||||
| Taxonomy Code | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
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|---|---|---|---|---|
| 1255960704 | Victoria Garcia | Clinic/Center | 1252 Nw 32nd St, Miami, FL 33142-6143 | 2020-04-06 |
| 1043846454 | Recovery Is Hope, LLC | Clinic/Center | 2512 W Cherry St Apt E, Tampa, FL 33607-3355 | 2020-03-17 |
| 1245750967 | Semper Therapy Center Inc | Clinic/Center | 8500 Sw 8th Street, Suite 224, Miami, FL 33144 | 2017-06-23 |
| 1477089274 | Sardonyx Group Therapy Inc | Clinic/Center | 4320 W Broward Blvd Ste 4, Plantation, FL 33317-3756 | 2017-05-11 |
| 1548637671 | Lilypad Counseling Services | Clinic/Center | 9589 Verona Lakes Blvd, Boynton Beach, FL 33472-2759 | 2015-08-24 |
| 1144619610 | Tnr Staffing, LLC | Clinic/Center | 6141 Lakae Worth Road, Lake Worth, FL 33463-3807 | 2015-01-21 |
| 1144562612 | Jl X Ray Options, Inc | Clinic/Center | 10340 Nw 36th Ct, Miami, FL 33147-1036 | 2013-03-22 |
| 1609122639 | Ariel Perez | Clinic/Center | 4070 Nw 5 St, Miami, FL 33126 | 2012-07-27 |
| 1942572805 | Instituto Medico Del Dolor LLC | Clinic/Center | 717 Ponce De Leon Blvd Ste 218, Coral Gables, FL 33134-2048 | 2012-02-07 |
| 1902174683 | Pulyterapia Spa Corp | Clinic/Center | 9369 Fountainbleau Blvd Apt J108, Miami, FL 33172-5629 | 2011-12-08 |
| Find all providers with the same taxonomy | ||||
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| 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.