Fort Walton Beach Developmental Center – Intellectual and/or Developmental Disabilities Residential Treatment Facility, NPI 1649279589

Fort Walton Beach Developmental Center is a healthcare provider. based in Fort walton beach, Florida. specializing in Intellectual and/or Developmental Disabilities Residential Treatment Facility. The organization holds a License No. 4024096 (FL). The NPI Number for Fort Walton Beach Developmental Center is 1649279589

Main info

Organization
Name
Fort Walton Beach Developmental Center
NPI
1649279589
Phone
(850) 862-0108
Address
113 BARKS DR
Authorized Official
MR. JOHN PATRICK FINNERTY ADMINISTRATOR
Enumeration Date
20 July 2005
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Fort Walton Beach Developmental Center

  • 113 BARKS DR

    FORT WALTON BEACH, FL 325476713

    Phone: (850) 862-0108

    Fax: (850) 862-7103

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32547)

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Frequently asked questions

What is the registry number for Fort Walton Beach Developmental Center?
The registry entry for Fort Walton Beach Developmental Center shows NPI 1649279589.
Does the public listing show Fort Walton Beach Developmental Center as active?
Fort Walton Beach Developmental Center's NPI record reflects an active status in NPPES.
What services align with Fort Walton Beach Developmental Center's listing?
Fort Walton Beach Developmental Center's public classification highlights Intellectual and/or Developmental Disabilities Residential Treatment Facility. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Fort Walton Beach Developmental Center?
Fort Walton Beach Developmental Center is associated with Fort Walton Beach, Florida in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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