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NPI Code Detail

MEDICARE: THERAPY ONE REHABILITATION CENTER, INC.

MEDICARE: THERAPY ONE REHABILITATION CENTER, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2000XPhysical Therapy Clinic/CenterFL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386647683
Entity Type Code : Organization
Provider Name (Legal Business Name) : THERAPY ONE REHABILITATION CENTER, INC.
Provider Business Mailing Address
First Line : 3210 JENKS AVE
Second Line :
City : PANAMA CITY
State : FL
Zip : 32405-4224
Country : US
Telephone Number : 850-763-0603
Fax Number : 850-769-5914
Provider Business Practice Location Address
First Line : 3210 JENKS AVE
Second Line :
City : PANAMA CITY
State : FL
Zip : 32405-4224
Country : US
Telephone Number : 850-763-0603
Fax Number : 850-769-5914
Authorized Official
Title or Position : DIRECTOR
Name : MR. JAMES BYRL COX JR.
Credential : M.S.
Telephone Number : 850-763-0603
Provider Enumeration Date : 05/31/2005
Last Update Date : 02/07/2022

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