Healthcare Provider Details

I. General information

NPI: 1861528994
Provider Name (Legal Business Name): ADVANCE PHYSICAL THERAPY AND WELLNESS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2007
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14280 WALSINGHAM RD
LARGO FL
33774-3231
US

IV. Provider business mailing address

14280 WALSINGHAM RD
LARGO FL
33774-3231
US

V. Phone/Fax

Practice location:
  • Phone: 727-532-1900
  • Fax: 727-532-4300
Mailing address:
  • Phone: 727-532-1900
  • Fax: 727-532-4300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT14584
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT17873
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberPTA1158
License Number StateFL

VIII. Authorized Official

Name: TARA SCHWARTZ
Title or Position: OWNER
Credential: MPT
Phone: 727-532-1900