Provider Demographics
NPI:1801888185
Name:DERRINGTON, FILNARA F (PT)
Entity type:Individual
Prefix:
First Name:FILNARA
Middle Name:F
Last Name:DERRINGTON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1818 MICCOSUKEE COMMONS DR
Mailing Address - Street 2:STE. #3
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-5490
Mailing Address - Country:US
Mailing Address - Phone:850-656-3163
Mailing Address - Fax:
Practice Address - Street 1:1818 MICCOSUKEE COMMONS DR
Practice Address - Street 2:STE. #3
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-5490
Practice Address - Country:US
Practice Address - Phone:850-656-3163
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-22
Last Update Date:2008-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 7271225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
00725OtherUNIVERSAL HEALTHCARE
Y043MOtherBCBS FL
U1977AMedicare ID - Type UnspecifiedMEDICARE