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General NPI Number Information
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NPI Number | 1861528994
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Entity Type | Organization
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Legal Business Name | ADVANCE PHYSICAL THERAPY AND WELLNESS INC
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Dates
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Enumeration Date | 02/25/2007
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 14280 WALSINGHAM RD
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City | LARGO
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State | FL
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Zip | 33774-3231
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Country | US
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Telephone | 727-532-1900
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Fax | 727-532-4300
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Provider Business Mailing Address
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Address Line | 14280 WALSINGHAM RD
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City | LARGO
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State | FL
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Zip | 33774-3231
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Country | US
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Telephone | 727-532-1900
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Fax | 727-532-4300
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Authorized Official
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Title or Position | OWNER
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Name | TARA SCHWARTZ
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Credential | MPT
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Telephone | 727-532-1900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT14584
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT17873
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA1158
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License Number State | FL
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