MEDICARE: REID WHITING PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251N0400X	Neurology Physical Therapist	PT41647	FL

General Provider Information

NPI Number	:	1053276808
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REID WHITING PT, DPT

Provider Business Mailing Address
First Line	:	265 E ROLLINS ST STE 9100
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32804-5569
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	265 E ROLLINS ST STE 9100
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32804-5569
Country	:	US
Telephone Number	:	407-303-8280
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/23/2025
Last Update Date	:	12/23/2025

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