EMERALD COAST PHYSICAL THERAPY LLC (NPI# 1780141572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780141572 |
Entity Type | Organization |
Organization Name | EMERALD COAST PHYSICAL THERAPY LLC |
Practice Address |
35008 Emerald Coast Pkwy Ste 400 Destin FL 32541-4753 |
Practice Telephone | 8507166166 |
Practice Fax Number | 8507166167 |
Mailing Telephone | 8507146166 |
Mailing Fax Number | 8507146167 |
Enumeration Date | 2019-02-27 |
Last Update Date | 2019-08-19 |
Authorized Official Name | DR. DANIELLE A MCKINNEY (PRESIDENT) |
Authorized Official Telephone | 8507146166 |
Authorized Official Credential | DPT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 225200000X | Physical Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities | ||
N | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities | ||
N | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Ambulatory Health Care Facilities | ||
N | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities | ||
N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
Street Address |
35008 EMERALD COAST PKWY STE 400 |
City | DESTIN |
State | FL |
Zip Code | 32541-4753 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881133148 | Danielle Mckinney | Physical Therapist | 35008 Emerald Coast Pkwy Ste 400, Destin, FL 32541 | 2017-02-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578020574 | Wal-mart Stores East, Lp | Durable Medical Equipment & Medical Supplies | Sec of Hwy 98 and Gulf Shore Drive, Destin, FL 32541 | 2019-02-26 |
1932640471 | Kathryn Clower | Chiropractor | 36474c Emerald Coast Pkwy Ste 3101, Destin, FL 32541 | 2017-03-16 |
1417304643 | Coastal Pediatric Group | Pediatrics | 36468 Emerald Coast Pkwy Unit 2101, Destin, FL 32541 | 2016-05-17 |
1336563956 | Blu By The Sea,llc | Clinic/Center | 3399 Scenic Highway 98, Destin, FL 32541 | 2014-02-18 |
1740539535 | Courtney Breaux Mcgee | Physician Assistant | 155 Crystal Beach Drive #121, Destin, FL 32541 | 2012-09-07 |
1073861704 | Nathan Hall Dmd Pl | Dentist | 4484 Legendary Dr, Suite B, Destin, FL 32541 | 2012-08-28 |
1982991121 | Bayshore Retreat, LLC | Substance Abuse Rehabilitation Facility | 457 Cahoun Ave, Destin, FL 32541 | 2011-07-08 |
1457661605 | Destin Surgery Clinic, P.a. | Specialist | 415 Mountain Drive, Suite # 6, Destin, FL 32541 | 2010-10-20 |
1194032581 | Laura Mathisen | Behavioral Analyst | 3820 Misty Way, Destin, FL 32541 | 2010-09-07 |
1376795690 | Valerie P. Peterson | Counselor | 215 Mountain Dr #106, Emerald Coast Counseling Center, Pa, Destin, FL 32541 | 2008-10-17 |
Find all providers in zip 32541 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730696196 | Robin C Zarate Md Pa | Clinic/Center | 36468 Emerald Coast Pkwy Ste 1101, Destin, FL 32541-3723 | 2018-01-08 |
1659541340 | South Walton Medical Center Inc | Clinic/Center | 10005c Us Highway 98 W, Destin, FL 32550-4962 | 2008-03-10 |
1861558686 | Destin Housecalls, LLC | Clinic/Center | 622 Mountain Dr, Destin, FL 32541-2429 | 2006-12-28 |
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1417558651 | Eclipse Wellness Center | Clinic/Center | 3015 S Congress Ave Ste 7, Palm Springs, FL 33461-2111 | 2020-11-04 |
1003416843 | Guidewell Emergency Medicine Doctors, LLC | Clinic/Center | 2465 N Orange Blossom Trail, Kissimmee, FL 34744 | 2020-10-30 |
1679173926 | Haven Medical Center, Inc. | Clinic/Center | 11961 N Florida Ave, Tampa, FL 33612-5213 | 2020-10-27 |
1134729494 | Anchor Plus Wellness Center, LLC | Clinic/Center | 5951 Nw 151st St Ste 205, Miami Lakes, FL 33014-2445 | 2020-10-27 |
1396344016 | Magic Steps Therapy LLC | Clinic/Center | 281 Nw 59th Ct, Miami, FL 33126-4749 | 2020-10-23 |
1194324046 | Fine Therapy and Rehab Center Corp | Clinic/Center | 10300 Sw 72nd St Ste 123, Miami, FL 33173-3001 | 2020-10-21 |
1659979243 | B&b Medical Center Inc | Clinic/Center | 219 Ne 8th Ave, Hialeah, FL 33010-5116 | 2020-10-15 |
1386242055 | A & P Therapy Services, LLC | Clinic/Center | 2061 Sw 150th Ave, Miami, FL 33185-5689 | 2020-10-14 |
1467059741 | Aaa Physicians Group | Clinic/Center | 109 Terra Mango Loop Ste B, Orlando, FL 32835-8511 | 2020-10-08 |
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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.