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General NPI Number Information
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NPI Number | 1609436997
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Entity Type | Organization
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Legal Business Name | PHOENIX PHYSICAL THERAPY AND WELLNESS, LLC
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Dates
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Enumeration Date | 06/18/2019
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 14804 NW 140TH ST
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City | ALACHUA
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State | FL
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Zip | 32615-6276
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Country | US
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Telephone | 386-292-2879
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Fax |
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Provider Business Mailing Address
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Address Line | 15202 NW 147TH DR STE 1200-228
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City | ALACHUA
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State | FL
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Zip | 32615-5331
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER, PT
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Name | ROBIN RAINSFORD TOMLIN
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Credential | DPT
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Telephone | 808-563-0834
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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