Healthcare Provider Details

I. General information

NPI: 1730847781
Provider Name (Legal Business Name): FIT PHYSICAL THERAPY OF FLORIDA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2021
Last Update Date: 12/06/2021
Certification Date: 12/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

326 MOODY BLVD
FLAGLER BEACH FL
32136-3373
US

IV. Provider business mailing address

326 MOODY BLVD
FLAGLER BEACH FL
32136-3373
US

V. Phone/Fax

Practice location:
  • Phone: 386-986-6866
  • Fax:
Mailing address:
  • Phone: 386-986-6866
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTINA MACHADO
Title or Position: PHYSICAL THERAPIST PRACTICE OWNER
Credential: DPT
Phone: 386-986-6866