Healthcare Provider Details
I. General information
NPI: 1942737747
Provider Name (Legal Business Name): SEATING SPECIALIST
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/11/2017
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7821 SEMINOLE BLVD STE 1
SEMINOLE FL
33772-4825
US
IV. Provider business mailing address
7821 SEMINOLE BLVD STE 1
SEMINOLE FL
33772-4825
US
V. Phone/Fax
- Phone: 813-501-3035
- Fax:
- Phone: 813-501-3035
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | PT 22598 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2251H1300X |
| Taxonomy | Human Factors Physical Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
CHRISTINA
MARIA
POTTER
Title or Position: CEO
Credential: PT, ATP/SMS
Phone: 305-801-8813