Country Club Pt Pa - Physical Therapist in Venice, FL

Country Club Pt Pa is a Physical Therapist - Geriatrics based in Venice, Florida. Country Club Pt Pa is licensed to practice in Florida (license number PT21464) and their current practice location is 1331 Whispering Ln, Venice, Florida. It can be reached at their office (for appointments etc.) via phone at (941) 451-6689.

NPI number for Country Club Pt Pa is 1578928420 and their current mailing address is 1331 Whispering Ln, Venice, Florida. Country Club Pt Pa does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1578928420.

Contact Information

Country Club Pt Pa
1331 Whispering Ln,
Venice, FL 34285-6449
(941) 451-6689
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameCountry Club Pt Pa
TypeFacility
SpecialityPhysical Therapist - Geriatrics
Location1331 Whispering Ln, Venice, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. The facility may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1578928420
  • Provider Enumeration Date: 12/19/2015
  • Last Update Date: 12/19/2015

Medical Identifiers

Medical identifiers for Country Club Pt Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578928420NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2251G0304XPhysical Therapist - Geriatrics PT21464 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Country Club Pt Pa is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Country Club Pt Pa
1331 Whispering Ln,
Venice, FL 34285-6449

Ph: (941) 451-6689
Country Club Pt Pa
1331 Whispering Ln,
Venice, FL 34285-6449

Ph: (941) 451-6689

Reviews and Comments


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