MEDICARE: FLOOR FABULOUS PELVIC PT, LLC

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	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1942178124
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLOOR FABULOUS PELVIC PT, LLC

Provider Business Mailing Address
First Line	:	2704 MIRAFLORES AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-4259
Country	:	US
Telephone Number	:	617-650-2788
Fax Number	:

Provider Business Practice Location Address
First Line	:	2200 HIGHLAND DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-4629
Country	:	US
Telephone Number	:	617-650-2788
Fax Number	:

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	DR. ANTOINETTE GAGLIARD-MUNOZ
Credential	:	PT, DPT, PCES
Telephone Number	:	617-650-2788

Provider Enumeration Date	:	10/28/2025
Last Update Date	:	10/28/2025

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