Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fort Walton Rehabilitation Center, LLC

Organization Skilled Nursing Facility · NPI 1962788646

Fort Walton Rehabilitation Center, LLC is a Skilled Nursing Facility in Fort Walton Beach, Florida. Licensed in Florida. Registered with an NPI since 2011.

Licensed in
FL
In the registry since
2011
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1 L B J Sr Dr
Fort Walton Beach, FL 32547-1163
Phone: (850) 863-2066
Fax: (850) 863-9006
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence SNF11610951 (FL)
Skilled Nursing Facility Taxonomy 314000000X (FL)

Record details

NPI number1962788646
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official R. Cronquist — Manager · (404) 574-2100
NPI enumeratedOctober 26, 2011
Last updated in NPPESSeptember 29, 2014
Mailing address5887 Glenridge Dr, Suite 150, Atlanta, GA 30328-5574

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