Healthcare Provider Details

I. General information

NPI: 1528946159
Provider Name (Legal Business Name): FIT FOR YOU PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2025
Last Update Date: 08/22/2025
Certification Date: 08/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

490 SW 2ND ST
LAKE BUTLER FL
32054-1515
US

IV. Provider business mailing address

490 SW 2ND ST
LAKE BUTLER FL
32054-1515
US

V. Phone/Fax

Practice location:
  • Phone: 352-538-7044
  • Fax:
Mailing address:
  • Phone: 352-538-7044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MACY ADAMS
Title or Position: OWNER
Credential: DPT
Phone: 352-538-7044