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NPI Code Detail

MEDICARE: PHILIP AGOSTINELLI PT, DPT, OCS, ATC

MEDICARE: PHILIP AGOSTINELLI PT, DPT, OCS, ATC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT27433FL
22255A2300XAthletic TrainerAL2561FL
32251X0800XOrthopedic Physical TherapistPT27433FL

General Provider Information

NPI Number : 1609111483
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHILIP AGOSTINELLI PT, DPT, OCS, ATC
Provider Business Mailing Address
First Line : 1341 ORANGE AVE
Second Line :
City : WINTER PARK
State : FL
Zip : 32789-4909
Country : US
Telephone Number : 407-691-7687
Fax Number : 407-691-7697
Provider Business Practice Location Address
First Line : 1341 ORANGE AVE
Second Line :
City : WINTER PARK
State : FL
Zip : 32789-4909
Country : US
Telephone Number : 407-691-7687
Fax Number : 407-691-7697
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2012
Last Update Date : 08/19/2025

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Directions to “ PHILIP AGOSTINELLI PT, DPT, OCS, ATC” Practice Location

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