CRESTVIEW PHYSICAL THERAPY INC
NPI 1295784668
Physical Therapist in Crestview, FL

Active since May 10, 2006
577 BROOKMEADE DR, CRESTVIEW, FL 32539(850) 682-7466(850) 682-6591 Get Directions Write a Review

NPPES record last updated: November 22, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Crestview Physical Therapy Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRESTVIEW PHYSICAL THERAPY INC (NPI 1295784668) is a healthcare organization registered as a physical therapist in Crestview, Florida and active in the NPI registry since May 2006. The organization lists Thomas A. Miller, President, as its authorized official.

NPPES Registry Identity

NPI1295784668
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameCRESTVIEW PHYSICAL THERAPY INC
Location Address577 BROOKMEADE DRCrestview, FL 32539-6029
Mailing AddressPo Box 2010Crestview, FL 32536-8010 · (850) 682-7466 · Fax (850) 682-6591
Fax(850) 682-6591
Organization SubpartNo
Authorized OfficialThomas A. MillerPresident · (850) 682-7466
Enumeration DateMay 10, 2006
Last NPPES UpdateNovember 22, 2022
NPPES CertifiedNovember 22, 2022
✔ NPI 1295784668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Licenses✔ Licensed in FL · PT2988✔ Licensed in FL · PT0002988
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
Also ListedPhysical Therapy AssistantTaxonomy 225200000X · License PTA18906 (FL)
577 BROOKMEADE DR, Crestview, FL 32539

Other Identifiers 7

Medicaid887782301FL
OtherY902QFL · Bcbs Grp Number
Other422880208FL · Tricare - Individual Numb
Other650024403FL · Railroad Medicare
OtherPTA18906FL · Physical Therapist Assist
Medicaid887782300FL
OtherPT0002988FL · Commercial Ins Numbers

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Crestview Physical Therapy Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Crestview Physical Therapy Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Physical Therapist in Private Practice
NPI 1811189228
577 BROOKMEADE DR
Crestview, FL 32539
(850) 682-7466
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1740549674
577 BROOKMEADE DR
Crestview, FL 32539
(850) 682-7466
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crestview Physical Therapy Inc's NPI number?

The NPI number for Crestview Physical Therapy Inc is 1295784668. It was assigned to this organization in the NPPES registry on May 10, 2006.

Where is Crestview Physical Therapy Inc located?

Crestview Physical Therapy Inc is located at 577 Brookmeade Dr, Crestview, FL 32539. The listed phone number is (850) 682-7466.

What is Crestview Physical Therapy Inc's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Crestview Physical Therapy Inc enrolled in Medicare?

Yes. Crestview Physical Therapy Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Crestview Physical Therapy Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Crestview Physical Therapy Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Crestview Physical Therapy Inc was last updated on November 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.