| Emerald Coast Physical Therapy LLC | |
|
35008 Emerald Coast Pkwy Ste 400 Destin FL 32541-4753 | |
| (850) 714-6166 | |
| (850) 714-6166 |
| Full Name | Emerald Coast Physical Therapy LLC |
|---|---|
| Speciality | Physical Therapist |
| Location | 35008 Emerald Coast Pkwy Ste 400, Destin, Florida |
| Authorized Official Name and Position | Robert Stricklen (OWNER) |
| Authorized Official Contact | 8507146166 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emerald Coast Physical Therapy LLC 35008 Emerald Coast Pkwy Ste 400 Destin FL 32541-4753 Ph: (850) 714-6166 | Emerald Coast Physical Therapy LLC 35008 Emerald Coast Pkwy Ste 400 Destin FL 32541-4753 Ph: (850) 714-6166 |
| NPI Number | 1780141572 |
|---|---|
| Provider Enumeration Date | 02/27/2019 |
| Last Update Date | 06/19/2026 |
| Certification Date | 06/19/2026 |
| Medicare PECOS PAC ID | 2163754722 |
|---|---|
| Medicare Enrollment ID | O20191031000387 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780141572 | NPI | - | NPPES |
| Provider Name | Robin Glinka |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003855891 PECOS PAC ID: 0840399721 Enrollment ID: I20070618000233 |
| Provider Name | Christopher Lee Edmonsond |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902929458 PECOS PAC ID: 4486755428 Enrollment ID: I20070720000655 |
| Provider Name | Danielle Mckinney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881133148 PECOS PAC ID: 3678840410 Enrollment ID: I20170525001923 |
| Provider Name | Barbara J Riley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922565100 PECOS PAC ID: 1153714068 Enrollment ID: I20220216001816 |
| Provider Name | Robert Joshua Stricklen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275285595 PECOS PAC ID: 2365823671 Enrollment ID: I20220718003627 |
| Provider Name | Sarah Fulghum |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952659823 PECOS PAC ID: 9133357866 Enrollment ID: I20240722002536 |
| Provider Name | Anessa Marie Leyva |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174354062 PECOS PAC ID: 4385176015 Enrollment ID: I20241018000996 |
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