Absolute Physical & Aquattic Therapy LLC
Physical Therapist in Panama City, FL. Organization (NPI-2).
NPI number1376944553
StatusActive
Last updated in NPPESSep 8, 2014
Details
- NPI
- 1376944553
- Entity type
- Organization (NPI-2)
- Legal business name
- Absolute Physical & Aquattic Therapy LLC
- Organization subpart
- No
- Enumeration date
- Sep 8, 2014
- Last updated
- Sep 8, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT28367 | FL | Yes |
Practice location
625 W Baldwin Rd Ste CPanama City, FL 32405-3359
Phone 850-628-3393 · Fax 850-415-1967
Mailing address
1695 Main StChipley, FL 32428-5992
Phone 850-638-3387 · Fax 850-415-1967
Authorized official
Ruben Alonzo Laurel
Manager
8505960218
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