Healthcare Provider Details
I. General information
NPI: 1356107544
Provider Name (Legal Business Name): RESILIENCY PHYSICAL THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/26/2024
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2550 GREEN FOREST LN STE 101
LUTZ FL
33558-5387
US
IV. Provider business mailing address
2550 GREEN FOREST LN STE 101
LUTZ FL
33558-5387
US
V. Phone/Fax
- Phone: 813-291-0037
- Fax:
- Phone: 813-966-5737
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JOSHUA
AARON
CABRERA
Title or Position: PHYSICAL THERAPIST
Credential: DR.
Phone: 813-966-5737