SOUTHERN ORTHOPEDIC SPECIALISTS PA (NPI# 1235396417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235396417 |
| Entity Type | Organization |
| Organization Name | SOUTHERN ORTHOPEDIC SPECIALISTS PA |
| Practice Address |
1827 Harrison Ave Panama City FL 32405-7605 |
| Practice Telephone | 8508727022 |
| Practice Fax Number | 8508727021 |
| Mailing Telephone | 8508727022 |
| Mailing Fax Number | 8508727021 |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2014-05-21 |
| Authorized Official Name | REBECCA CARREIRA (CFO) |
| Authorized Official Telephone | 8507854344 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | PT19663 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225X00000X | Occupational Therapist | OT10791 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225100000X | Physical Therapist | PT19943 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS FL | Y901U | 01 |
| Street Address |
1827 HARRISON AVE |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32405-7605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982600698 | Nelson Wayne Sanders | Physical Therapist | 1827 Harrison Ave, Unit 4, Panama City, FL 32405-7606 | 2005-06-27 |
| 1336751585 | Marta Mauney Salter | Nurse Practitioner | 1827 Harrison Ave, Panama City, FL 32405-7605 | 2020-08-19 |
| 1992328363 | Kaitlyn Taylor Girard | Physician Assistant | 1827 Harrison Ave, Panama City, FL 32405-7605 | 2020-05-20 |
| 1407313075 | Kelsey Diane Spratlin | Occupational Therapist | 1827 Harrison Ave, Panama City, FL 32405-7605 | 2019-03-01 |
| 1942743349 | Monica Seal | Physical Therapist | 1827 Harrison Ave, Panama City, FL 32405-7605 | 2016-12-02 |
| 1578011284 | Jennifer Meaux | Physician Assistant | 1827 Harrison Ave, Panama City, FL 32405-7605 | 2016-09-12 |
| 1891183323 | Christy Martin | Nurse Practitioner | 1827 Harrison Ave, Unit 2, Panama City, FL 32405-7605 | 2015-01-06 |
| 1053716886 | Justine Leona Hamer | Specialist/Technologist | 1827 Harrison Ave, Panama City, FL 32405-7605 | 2014-10-22 |
| 1992145353 | Ryan M Perry | Orthopaedic Surgery | 1827 Harrison Ave, Panama City, FL 32405-7605 | 2013-07-01 |
| 1699040444 | Kavita Iyengar | Orthopaedic Surgery | 1827 Harrison Ave, Panama City, FL 32405-7605 | 2012-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457962136 | Kimberlea Fox | Behavioral Analyst | 4750 Collegiate Drive, Technology Building 157, Panama City, FL 32405 | 2020-08-14 |
| 1598325714 | Covenant Home Health Care, LLC | Home Health | 107 W. 19th Street, Panama City, FL 32405 | 2019-06-19 |
| 1467921403 | Amy Hancock | Counselor | 1212 W. 19th St., Panama City, FL 32405 | 2018-11-20 |
| 1063991917 | Patricia Kagendo Mutunga | Day Training, Developmentally Disabled Services | 2813 Fairmont Dr, Panama City, FL 32405 | 2018-08-11 |
| 1871087882 | Southeastern Dermatology Group Pa | Pharmacy | 2505 Harrison Ave Ste A, Panama City, FL 32405 | 2018-06-22 |
| 1346733615 | Jessica Nicole Graham | Nurse Practitioner | 2507 Harrison Ave Unit 101, Panama City, FL 32405 | 2018-06-12 |
| 1437658424 | Coastal Mobility Transportation, LLC | Non-emergency Medical Transport (VAN) | 203 Forest Park Circle, Panama City, FL 32405 | 2018-02-06 |
| 1003314915 | The Anti-aging Clinic of Northwest Florida | Obstetrics & Gynecology | 3019 Osprey Cir, Panama City, FL 32405 | 2018-01-25 |
| 1255848487 | Sarah Theriot | Social Worker | 700 W 23rd St Bldg H, Panama City, FL 32405 | 2018-01-09 |
| 1336686054 | Angela Leake | Registered Nurse | 449 W 23 St, Panama City, FL 32405 | 2017-01-20 |
| Find all providers in zip 32405 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770043309 | Anna Gann | Physical Therapist | 3009 Highway 77 Ste G, Panama City, FL 32405-5059 | 2019-03-20 |
| 1225596372 | Jana Renee Shaddix Diaz | Physical Therapist | 221 Calle Arbol Panama, Panama City, PANAMA 00000 | 2019-03-07 |
| 1710442827 | Kelly Putman Meyer | Physical Therapist | 2575 Harrison Ave, Panama City, FL 32405-4458 | 2019-02-02 |
| 1932644184 | Rennell Reyes | Physical Therapist | 710 Huntingdon Rd, Panama City, FL 32405-3811 | 2016-12-27 |
| 1891195103 | Elizabeth Keller | Physical Therapist | 529 Tracey Dr, Panama City, FL 32404-8659 | 2014-08-25 |
| 1316241797 | Diosadado G Salaveria | Physical Therapist | 2427 Pelican Bay Ct, Panama City, FL 32408-7053 | 2010-12-29 |
| 1013210871 | Heffernan Physical Therapy Inc | Physical Therapist | 2335 State Ave Ste E, Panama City, FL 32405-4379 | 2010-12-15 |
| 1720213010 | Artur Garbiec | Physical Therapist | 2931 Hwy 77, Panama City, FL 32405-4411 | 2009-05-15 |
| 1467571398 | Jean M Just | Physical Therapist | 411 Rowe Dr, Panama City, FL 32401-3967 | 2007-03-29 |
| 1679676118 | Joanna Chmielowiec | Physical Therapist | 220 Forrest Park Circle, Panama City, FL 32405 | 2006-09-07 |
| Find all providers in PANAMA CITY | ||||
| City | PANAMA CITY |
| Zip Code | 32405 |
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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.