Healthcare Provider Details

I. General information

NPI: 1326698630
Provider Name (Legal Business Name): MOVING FORWARD PHYSICAL THERAPY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2019
Last Update Date: 03/03/2020
Certification Date: 03/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7750 SW 60TH AVE STE E
OCALA FL
34476-6472
US

IV. Provider business mailing address

10137 NW 19TH PL
OCALA FL
34482-2507
US

V. Phone/Fax

Practice location:
  • Phone: 352-433-1918
  • Fax: 352-433-0950
Mailing address:
  • Phone: 352-875-4143
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. DONNA WHEELER
Title or Position: PRESIDENT
Credential: MSPT
Phone: 352-875-4143