OrganizationActive
Beach Orthopaedic & Sports Medicine Clinic, PA
NPI 1295769263 · Orthopaedic Surgery Physician · Fort Walton Beach, FL
Provider details
- NPI number
- 1295769263
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Samuel Capra, President/Owner(850) 664-5633
- License
- ME94278 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1032 Mar Walt Dr
Suite 210
Fort Walton Beach, FL 32547-6645
Phone: (850) 664-5633
Fax: (850) 315-2664
Street-level locationGet directions
Mailing address
1032 Mar Walt Dr
Fort Walton Beach, FL 32547-6645
Registry dates
- Enumerated
- 2006-07-10
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.