Healthcare Provider Details

I. General information

NPI: 1316635139
Provider Name (Legal Business Name): RITZ THERAPY AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2023
Last Update Date: 04/28/2023
Certification Date: 04/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21511 ELDRED AVE
PORT CHARLOTTE FL
33952-1609
US

IV. Provider business mailing address

21511 ELDRED AVE
PORT CHARLOTTE FL
33952-1609
US

V. Phone/Fax

Practice location:
  • Phone: 502-249-3155
  • Fax:
Mailing address:
  • Phone: 502-249-3155
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225XF0002X
TaxonomyFeeding, Eating & Swallowing Occupational Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. NEREIDA RITZ
Title or Position: MANAGER
Credential: OTD, OTR/L
Phone: 502-249-3155