Primetime Physical Therapy LLC
NPI 1083911754 · Physical Therapy Clinic/Center · Fort Walton Beach, FL
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Primetime Physical Therapy LLC is a Physical Therapy Clinic/Center organization in Fort Walton Beach, FL (NPI 1083911754).
Provider details
- NPI number
- 1083911754
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Cory Scott, President(850) 862-1999
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-02-16
- Last updated
- 2011-04-18
Frequently asked questions
- What is Primetime Physical Therapy LLC's NPI number?
- Primetime Physical Therapy LLC's National Provider Identifier (NPI) is 1083911754, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Primetime Physical Therapy LLC?
- Primetime Physical Therapy LLC is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Primetime Physical Therapy LLC located?
- Primetime Physical Therapy LLC's practice location on file with NPPES is 1578 Venice Ave, Fort Walton Beach, FL 32547-5739.
- What is Primetime Physical Therapy LLC's phone number?
- The practice phone number listed in the NPPES registry for Primetime Physical Therapy LLC is (850) 862-1999.
- Does Primetime Physical Therapy LLC accept Medicare?
- Primetime Physical Therapy LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Primetime Physical Therapy LLC?
- The authorized official listed on Primetime Physical Therapy LLC's NPPES record is Cory Scott, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Primetime Physical Therapy LLC's NPI active?
- Yes — Primetime Physical Therapy LLC's NPI (1083911754) is active in the NPPES registry as of the last update on 2011-04-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.