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Export Provider Record NPI 1285104828
Peace River Physical Therapy & Rehabilitation, Llc
Organization Subpart: NO
Active
NPI Number1285104828
NPI TypeNPI-2 Organization
SpecialtyClinic/Center, Physical Therapy
Provider Details
NPI1285104828
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2018-11-27
Last Updated2020-07-28
Authorized OfficialLance Doeble
AMBR
Phone: 9418884561
Mailing AddressPo Box 510326
Punta Gorda, FL 33951-0326
United States
Phone: (941) 888-4561
📍 View Map
Primary Practice Address2200 Kings Hwy Unit 2f
Port Charlotte, FL 33980-5760
United States
Phone: (941) 888-4561 | Fax: (941) 347-4695
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No225100000X – Physical Therapist--
Yes261QP2000X – Clinic/Center, Physical Therapy--
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About NPI 1285104828

Peace River Physical Therapy & Rehabilitation, Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1285104828. The primary specialty listed is Clinic/Center, Physical Therapy. The organization is located in Port Charlotte, FL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2018-11-27. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1285104828?

NPI 1285104828 belongs to Peace River Physical Therapy & Rehabilitation, Llc, a Clinic/Center, Physical Therapy in Port Charlotte, FL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1285104828 active?

The current status of NPI 1285104828 in the NPPES registry is Active. The record was last updated on 2020-07-28.

What specialty is NPI 1285104828?

NPI 1285104828 is classified under the taxonomy Clinic/Center, Physical Therapy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1285104828?

You can verify NPI 1285104828 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1285104828?

The primary practice address on file for NPI 1285104828 is 2200 Kings Hwy Unit 2f, Port Charlotte, FL 33980-5760. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1285104828 issued?

NPI 1285104828 was first issued (enumerated) on 2018-11-27. The NPPES record was last updated on 2020-07-28.

Practice Location Map

Peace River Physical Therapy & Rehabilitation, Llc is located at 2200 Kings Hwy Unit 2f, Port Charlotte, FL. Use the map below to find directions or verify the practice location.

📍 2200 Kings Hwy Unit 2f, Port Charlotte, FL 33980-5760  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Peace River Physical Therapy & Rehabilitation, Llc. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-08-01 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162