OrganizationActive
Magnolia Rehab Services
NPI 1235457052 · Speech-Language Pathologist · Fort Walton Beach, FL
Provider details
- NPI number
- 1235457052
- Entity type
- Organization
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Organization subpart
- No
- Authorized official
- Mary Nix, Clinic Director(850) 226-8279
- License
- SA 7938 (FL)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
1200 Crosswinds Lndg
Fort Walton Beach, FL 32547-1174
Phone: (850) 226-8279
Fax: (850) 226-8326
Street-level locationGet directions
Mailing address
1200 Crosswinds Lndg
Fort Walton Beach, FL 32547-1174
Other names (DBA / former)
- Doing business as
- Magnolia Pediatric Therapy
- Doing business as
- Magnolia Pediatric Therapy
Registry dates
- Enumerated
- 2010-05-05
- Last updated
- 2022-09-29
- Certified
- 2022-09-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.