CMS-1500 Box 24J / 33a • NPI
1376382275
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
261QP2000X (CMS 70)
Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center
Box 32 Service Location & ZIP+4
1008 AIRPORT RD STE A, DESTIN, FL, 32541-2822
✓ 9-Digit EDI 837 ZIP+4 (32541-2822)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1376382275 (VALERIE LYNN ELZORA AINSWORTH, PT, DPT) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1376382275 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | VALERIE LYNN ELZORA AINSWORTH, PT, DPT |
| Plain-English Specialty | Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: 261QP2000X (Clinic/Center, Physical Therapy) |
| Certifying / Licensing Body | Accreditation Association for Ambulatory Health Care (AAAHC) / CMS |
| Practice Location Address | 1008 AIRPORT RD STE A, DESTIN, FL, 32541-2822 |
| Practice Telephone / Fax | Tel: (850) 837-3349 |
| Administrative Mailing Address | 4320 COMMONS DR W UNIT 5313, DESTIN, FL, 32541-8660 |
| Enumeration & Last Sync | Enumerated: 2024-05-21 | CMS Record Updated: 2024-05-21 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (261QP2000X)
What Does Taxonomy Code 261QP2000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QP2000X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (VALERIE LYNN ELZORA AINSWORTH, PT, DPT)
Typical CPT / Diagnostic Procedures:- Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
- Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures
- Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
261QP2000X — Clinic/Center, Physical TherapyPlain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: FL | License: PT41636 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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