PRIME THERAPY INC NPI 1316996713

NPI Information

  • NPI: 1316996713
  • Provider Name: PRIME THERAPY, INC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 4100 S FERDON BLVD
    STE A1
    CRESTVIEW, FL
    ZIP 32536
  • Phone: (850) 682-8388

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NPI Details

PRIME THERAPY, INC is a clinic center in Crestview, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PRIME THERAPY, INC NPI is 1316996713. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4100 S FERDON BLVD
STE A1
CRESTVIEW, FL
ZIP 32536-252
Phone: (850) 682-8388
Fax: (850) 682-7463

The provider's authorized official is Sabra Lynn Arzaga .
The authorized official title is Owner/director and has the following contact phone number (850) 682-8388.

The enumeration date for this NPI number is 5/10/2006 and was last updated on 11/3/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225100000XPhysical TherapistNo
2261Q00000XClinic/CenterYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1885901900MEDICAIDFLORIDA
2Y901TOTHERFLORIDABCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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