Healthcare Provider Details

I. General information

NPI: 1932838224
Provider Name (Legal Business Name): A ONE PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2022
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12139 S WILLIAMS ST STE A
DUNNELLON FL
34432-6056
US

IV. Provider business mailing address

3299 SW 34TH ST UNIT 200
OCALA FL
34474-7435
US

V. Phone/Fax

Practice location:
  • Phone: 352-304-5550
  • Fax: 352-304-6544
Mailing address:
  • Phone: 352-304-5550
  • Fax: 352-304-6544

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. TUSHAR I MAVANI
Title or Position: OWNER
Credential: DPT
Phone: 352-304-5550