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ORTHOPEDIC & SPORTS PHYSICAL THERAPY CENTER LLC
NPI 1881632008
Clinic/Center - Physical Therapy in Niceville, FL

Active since June 02, 2006
1950 BLUEWATER BLVD, SUITE 101, NICEVILLE, FL 32578(850) 897-3334(850) 897-7855 Get Directions Write a Review

NPPES record last updated: April 28, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Orthopedic & Sports Physical Therapy Center Llc NPPES

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

ORTHOPEDIC & SPORTS PHYSICAL THERAPY CENTER LLC (NPI 1881632008) is a healthcare organization registered as a physical therapy in Niceville, Florida and active in the NPI registry since June 2006. The organization lists Nicole Sheppard, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1881632008
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameORTHOPEDIC & SPORTS PHYSICAL THERAPY CENTER LLC
Location Address1950 BLUEWATER BLVD, SUITE 101Niceville, FL 32578-3888
Mailing Address1950 Bluewater Blvd, Suite 101Niceville, FL 32578-3888 · (850) 897-3334 · Fax (850) 897-7855
Phone(850) 897-3334
Fax(850) 897-7855
Organization SubpartNo
Authorized OfficialNicole SheppardPractice Administrator · (850) 897-3334
Enumeration DateJune 2, 2006
Last NPPES UpdateApril 28, 2016
✔ NPI 1881632008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
1950 BLUEWATER BLVD, Niceville, FL 32578
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Other Identifiers 3

Medicaid8913153-00FL
Medicare ID-Type UnspecifiedK7416FL · Group #
OtherY906WFL · Bcbsfl Clinic #

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Orthopedic & Sports Physical Therapy Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Orthopedic & Sports Physical Therapy Center LLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Physical Therapist in Private Practice9
Occupational Therapist in Private Practice1

Clinicians, nearest first (10)

Kody Mcghee, OT
Occupational Therapist in Private Practice
NPI 1083368815
1950 BLUEWATER BLVD STE 101
Niceville, FL 32578
(850) 897-3334
✔ Accepts MedicareSame address
Lincoln Norris
Physical Therapist in Private Practice
NPI 1831895515
1950 BLUEWATER BLVD STE 101
Niceville, FL 32578
(850) 897-3334
✔ Accepts MedicareSame address
Ross Burks, PT, DPT
Physical Therapist in Private Practice
NPI 1750621223
1950 BLUEWATER BLVD SUITE 101
Niceville, FL 32578
(850) 897-3334
✔ Accepts MedicareSame address
David Davis, PT, OCS
Physical Therapist in Private Practice
NPI 1326058264
1950 BLUEWATER BLVD SUITE 101
Niceville, FL 32578
(850) 897-3334
Same address
Landyn Clark Yudez
Physical Therapist in Private Practice
NPI 1780149757
1950 BLUEWATER BLVD STE 101
Niceville, FL 32578
(508) 973-3348
Same address
Regina Patton, PT
Physical Therapist in Private Practice
NPI 1558501072
1950 BLUEWATER BLVD STE 101
Niceville, FL 32578
(850) 897-3334
✔ Accepts MedicareSame address
Robert Seton, MPT, OCS
Physical Therapist in Private Practice
NPI 1740217967
12671 HWY 98 W SUITE 213
Destin, FL 32550
(850) 650-4186
7.3 mi
Delan Gilliam, PT
Physical Therapist in Private Practice
NPI 1508244674
200 DOCTORS DR
Panama City, FL 32405
(850) 784-7724
50 mi
Matthew Fischer, DPT
Physical Therapist in Private Practice
NPI 1619577921
1567 MAIN ST
Chipley, FL 32428
(850) 638-3387
56 mi
Caylin Bauld, PT
Physical Therapist in Private Practice
NPI 1790480986
2817 ROCK MERRITT AVE
Fort Bragg, NC 28310
(910) 907-8922
✔ Accepts Medicare537 mi

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 Orthopedic & Sports Physical Therapy Center LLC's NPI number?

The NPI number for Orthopedic & Sports Physical Therapy Center LLC is 1881632008. It was assigned to this organization in the NPPES registry on June 2, 2006.

Where is Orthopedic & Sports Physical Therapy Center LLC located?

Orthopedic & Sports Physical Therapy Center LLC is located at 1950 Bluewater Blvd Suite 101, Niceville, FL 32578. The listed phone number is (850) 897-3334.

What is Orthopedic & Sports Physical Therapy Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Is Orthopedic & Sports Physical Therapy Center LLC enrolled in Medicare?

Yes. Orthopedic & Sports Physical Therapy Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Orthopedic & Sports Physical Therapy Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 2 Medicare specialties reassign their Medicare billing to Orthopedic & Sports Physical Therapy Center LLC. 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. The largest specialties are Physical Therapist in Private Practice (9) and Occupational Therapist in Private Practice (1). Of these, 6 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Orthopedic & Sports Physical Therapy Center LLC was last updated on April 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.