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

John Loftis

Individual provider Physician Assistant · NPI 1154953743

John Loftis is a Physician Assistant in Fort Walton Beach, Florida. Qualified in 2019, 7 years ago. Practices with Dynamic Pain and Wellness LLC, a 28-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2020
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Practice location Address checks out

930 Mar Walt Dr Unit C
Fort Walton Beach, FL 32547-6706
Phone: (850) 226-6801
Fax: (877) 413-5104
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9112927 (FL)

Record details

NPI number1154953743
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 11, 2020
Last updated in NPPESFebruary 11, 2020
Certification dateFebruary 11, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Dynamic Pain And Wellness Llc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Fort Walton Beach