Healthcare Provider Details

I. General information

NPI: 1770400293
Provider Name (Legal Business Name): CORRE-MOTION PT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

922 W LUMSDEN RD
BRANDON FL
33511-6281
US

IV. Provider business mailing address

PO BOX 47
SEFFNER FL
33583-0047
US

V. Phone/Fax

Practice location:
  • Phone: 813-431-1767
  • Fax:
Mailing address:
  • Phone: 813-431-1767
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. ALIVIA ANN CORRIERO
Title or Position: OWNER
Credential: DPT
Phone: 813-431-1767