LULIE RADFORD (NPI# 1669667648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669667648 |
| Entity Type | Individual |
| Full Name | LULIE RADFORD |
| Credential | PT |
| Practice Address |
807 N Tyndall Pkwy Panama City FL 32404-9495 |
| Practice Telephone | 8507630505 |
| Mailing Telephone | 8507630505 |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2007-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PT 23560 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT 23560 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE PART B | K4001 | 01 |
| Street Address |
807 N TYNDALL PKWY |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32404-9495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568498236 | Compass Physical Therapy, LLC | Physical Therapist | 807 N Tyndall Pkwy, Panama City, FL 32404-9495 | 2006-06-24 |
| 1679850275 | Pamela Lynch | Speech-Language Pathologist | 807 N Tyndall Pkwy, Panama City, FL 32404-9495 | 2011-11-09 |
| 1760623698 | Nicole Diane Van Pelt | Physical Therapist | 807 N Tyndall Pkwy, Panama City, FL 32404-9495 | 2009-03-24 |
| 1174730964 | Jennifer J. Brimm | Physical Therapist | 807 N Tyndall Pkwy, Panama City, FL 32404-9495 | 2007-05-17 |
| 1194844480 | Kelly Johnson | Physical Therapist | 807 N Tyndall Pkwy, Panama City, FL 32404-9495 | 2007-03-28 |
| 1154440857 | Mayra Hovan | Physical Therapist | 807 N Tyndall Pkwy, Panama City, FL 32404-9495 | 2007-03-27 |
| 1013053644 | Bryan Timothy Davis | Physical Therapist | 807 N Tyndall Pkwy, Panama City, FL 32404-9495 | 2007-01-30 |
| 1255487286 | Teresa Michelle Wagner | Physical Therapist | 807 N Tyndall Pkwy, Panama City, FL 32404-9495 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508278854 | Wayne Harris | Non-emergency Medical Transport (VAN) | 4826 Mccall Ln, Panama City, FL 32404 | 2014-05-21 |
| 1417384769 | Yolanda M Tingler | Social Worker | 7334 Highway 2311, Panama City, FL 32404 | 2013-10-02 |
| 1326482381 | Lydia Ann Rosenberger | Nurse Practitioner | 3520 East 15th Streett, Panama City, FL 32404 | 2013-04-22 |
| 1114288651 | Carly D Taulbee | Physical Therapy Assistant | 626 S Tyndall Pkwy, Panama City, FL 32404 | 2012-05-31 |
| 1770855934 | Lavie Rehab | Skilled Nursing Facility | 636 Tyndall Pkwy, Panama City, FL 32404 | 2012-02-03 |
| 1760695431 | Corey J Seymour | Military Health Care Provider | 4837 Mccall Ln, Panama City, FL 32404 | 2007-05-08 |
| 1336361625 | Vicky Perkins Whitfield | Pharmacist | 3621 Us Hwy 231 N., Panama City, FL 32404 | 2007-05-03 |
| 1528280807 | John Charles Peacock Sr. | Pharmacist | 3621 Us Hwy 231 North, Panama City, FL 32404 | 2007-05-03 |
| 1184782906 | Shelley Isenberg Hickman | Occupational Therapist | 5441 Nehi Rd, Panama City, FL 32404 | 2006-12-05 |
| 1629151931 | Kenneth Michael Plumley | Physician Assistant | 5620 Cherry St, Callaway, FL 32404 | 2006-10-23 |
| Find all providers in zip 32404 | ||||
| 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 | PANAMA CITY |
| Zip Code | 32404 |
Please comment or provide details below to improve the information on LULIE RADFORD.
| 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.