Fort Walton Rehabilitation Center, LLC
NPI 1962788646 · Skilled Nursing Facility · Fort Walton Beach, FL
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fort Walton Rehabilitation Center, LLC is a Skilled Nursing Facility organization in Fort Walton Beach, FL (NPI 1962788646).
Provider details
- NPI number
- 1962788646
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- R. Cronquist, Manager(404) 574-2100
Specialties & taxonomies
Nursing & Custodial Care Facilities
- Skilled Nursing Facility314000000X
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
- 2011-10-26
- Last updated
- 2014-09-29
Frequently asked questions
- What is Fort Walton Rehabilitation Center, LLC's NPI number?
- Fort Walton Rehabilitation Center, LLC's National Provider Identifier (NPI) is 1962788646, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fort Walton Rehabilitation Center, LLC?
- Fort Walton Rehabilitation Center, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Fort Walton Rehabilitation Center, LLC located?
- Fort Walton Rehabilitation Center, LLC's practice location on file with NPPES is 1 L B J Sr Dr, Fort Walton Beach, FL 32547-1163.
- What is Fort Walton Rehabilitation Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Fort Walton Rehabilitation Center, LLC is (850) 863-2066.
- Does Fort Walton Rehabilitation Center, LLC accept Medicare?
- Fort Walton Rehabilitation Center, 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 Fort Walton Rehabilitation Center, LLC?
- The authorized official listed on Fort Walton Rehabilitation Center, LLC's NPPES record is R. Cronquist, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fort Walton Rehabilitation Center, LLC's NPI active?
- Yes — Fort Walton Rehabilitation Center, LLC's NPI (1962788646) is active in the NPPES registry as of the last update on 2014-09-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.