| Optimal Performance & Physical Therapies Winter Haven, Llc | |
|
5535 Cypress Gardens Blvd Ste 260, Winter Haven, FL 33884-2241 | |
| (727) 475-5540 | |
| Not Available |
| Full Name | Optimal Performance & Physical Therapies Winter Haven, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 5535 Cypress Gardens Blvd Ste 260, Winter Haven, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336709369 | NPI | - | NPPES |
| PT4616 | Other | FL | PT LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Nicholas Vultaggio |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346851839 PECOS PAC ID: 8729405600 Enrollment ID: I20200825000804 |
| Provider Name | Blair Gaston |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487260790 PECOS PAC ID: 5496175200 Enrollment ID: I20201016000953 |
| Provider Name | Kristen Kleponis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972105328 PECOS PAC ID: 0244642775 Enrollment ID: I20201207002491 |
| Provider Name | Alicia Bornemann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114524675 PECOS PAC ID: 3173902020 Enrollment ID: I20220623000223 |
| Provider Name | Ariel Evans |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881394542 PECOS PAC ID: 9931574134 Enrollment ID: I20230330002839 |
| Provider Name | Christopher Greaves |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740901818 PECOS PAC ID: 0749657914 Enrollment ID: I20240223000760 |
| Mailing Address | Practice Location Address |
|---|---|
| Optimal Performance & Physical Therapies Winter Haven, Llc 21756 State Road 54 Ste 102, Lutz, FL 33549-2905 Ph: (727) 475-5540 | Optimal Performance & Physical Therapies Winter Haven, Llc 5535 Cypress Gardens Blvd Ste 260, Winter Haven, FL 33884-2241 Ph: (727) 475-5540 |
Maria Babanto Abestano, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4715 Summerfield Cir, Winter Haven, FL 33881 Phone: 850-902-1134 | |
Briana Sturgis, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 507 Avenue K Ne, Winter Haven, FL 33881 Phone: 863-258-8775 | |
Mr. Edwin Munoz Soriano, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 141 Avenue C Sw, Suite 150, Winter Haven, FL 33880 Phone: 863-293-3700 Fax: 863-292-0417 | |
William Fabian, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1601 6th St Se, Winter Haven, FL 33880 Phone: 863-294-0350 Fax: 863-294-0381 | |
Miss Riza S. Baluyut, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 950 1st St S, Winter Haven, FL 33880 Phone: 863-293-7778 Fax: 863-299-3836 | |
Emily Ebner, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1601 6th St Se Ste B, Winter Haven, FL 33880 Phone: 863-294-0350 | |
Velocity Rehab Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 250 3rd St Nw, Suite 202, Winter Haven, FL 33881 Phone: 863-535-1071 Fax: 863-595-1073 |