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Emerald Coast Physical Therapy LLC

Physical Therapist in Destin, FL. Organization (NPI-2).

NPI number1780141572
StatusActive
Last updated in NPPESJun 19, 2026

Details

NPI
1780141572
Entity type
Organization (NPI-2)
Legal business name
Emerald Coast Physical Therapy LLC
Organization subpart
No
Enumeration date
Feb 27, 2019
Certification date
Jun 19, 2026
Last updated
Jun 19, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist––Yes
225200000X Physical Therapy Assistant––
261QR0400X Clinic/Center, Rehabilitation––
208100000X Physical Medicine & Rehabilitation––
261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)––
2251X0800X Physical Therapist, Orthopedic––
261Q00000X Clinic/Center––
261QX0100X Clinic/Center, Occupational Medicine––
261QP2000X Clinic/Center, Physical Therapy––
225X00000X Occupational Therapist––
2251S0007X Physical Therapist, Sports––

Practice location

35008 Emerald Coast Pkwy Ste 400
Destin, FL 32541-4753

Phone 850-714-6166 · Fax 850-714-6166

Mailing address

35008 Emerald Coast Pkwy Ste 400
Destin, FL 32541-4753

Phone 850-714-6166 · Fax 850-714-6167

Authorized official

Robert Stricklen
Owner
8507146166

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