Organization
CRESTVIEW PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS A. MILLER P.T. (PRESIDENT)
(850) 682-7466
Entity
Organization
Contact information
Practice address
577 BROOKMEADE DR, CRESTVIEW, FL 32539-6029
(850) 682-7466
(850) 682-6591
Mailing address
PO BOX 2010, CRESTVIEW, FL 32536-8010
(850) 682-7466
(850) 682-6591
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT0002988
FL
225100000X
Physical Therapist
Primary
PT2988
FL
225200000X
Physical Therapy Assistant
PTA18906
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
422880208
TRICARE - INDIVIDUAL NUMB
FL
01
—
650024403
RAILROAD MEDICARE
FL
05
—
887782300
—
FL
05
—
887782301
—
FL
01
—
PT0002988
COMMERCIAL INS NUMBERS
FL
01
—
PTA18906
PHYSICAL THERAPIST ASSIST
FL
01
—
Y902Q
BCBS GRP NUMBER
FL
Enumeration date
05/10/2006
Last updated
11/22/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us