Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
MAGNOLIA REHAB SERVICES
Active
Organization
MAGNOLIA REHAB SERVICES
Active
Other names
Magnolia Pediatric Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MARY C NIX MS, CCC-SLP (CLINIC DIRECTOR)
(850) 226-8279
Entity
Organization
Contact information
Practice address
1200 CROSSWINDS LNDG, FORT WALTON BEACH, FL 32547-1174
(850) 226-8279
(850) 226-8326
Mailing address
1200 CROSSWINDS LNDG, FORT WALTON BEACH, FL 32547-1174
(850) 226-8279
(850) 226-8326
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 7938
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111422500
—
FL
Enumeration date
05/05/2010
Last updated
09/29/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up