Pro Vita Physical Therapy Llc - Medicare in Crestview, FL

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Pro Vita Physical Therapy Llc is a medicare enrolled "Clinic/center - Physical Therapy" provider in Crestview, Florida. Their current practice location is 638 N Ferdon Blvd Ste 1, Crestview, Florida. You can reach out to their office (for appointments etc.) via phone at (850) 331-3017.

Pro Vita Physical Therapy Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Pro Vita Physical Therapy Llc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1790332351.

Contact Information

Pro Vita Physical Therapy Llc
638 N Ferdon Blvd Ste 1,
Crestview, FL 32536-2170
(850) 331-3017
(855) 975-2575

Map and Direction




Healthcare Provider's Profile

Full NamePro Vita Physical Therapy Llc
TypeFacility
SpecialityClinic/center - Physical Therapy
Location638 N Ferdon Blvd Ste 1, Crestview, Florida
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1790332351
  • Provider Enumeration Date: 08/19/2019
  • Last Update Date: 08/29/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6901226976
  • Enrollment ID: O20201013000689

Medical Identifiers

Medical identifiers for Pro Vita Physical Therapy Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790332351NPI-NPPES
8JY2NOtherFLFLORIDA BLUE
103517900MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Secondary
225X00000XOccupational Therapist (* (Not Available))Secondary
261QP2000XClinic/center - Physical Therapy (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Pro Vita Physical Therapy Llc acts as a billing entity for following providers:
Provider NameCarla J Bulla
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1558547406
PECOS PAC ID: 7810071230
Enrollment ID: I20080225000322
Provider NameKelly Duncan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1740549674
PECOS PAC ID: 7719141027
Enrollment ID: I20120619000130
Provider NameTiffany D Pickett
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1053716175
PECOS PAC ID: 8921321316
Enrollment ID: I20141215002234
Provider NameShana Lynn Carter
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1164921458
PECOS PAC ID: 9032471396
Enrollment ID: I20180326001985
Provider NameJeanne Rose B Narvaez
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1558010181
PECOS PAC ID: 1759768070
Enrollment ID: I20220506000685
Provider NameMelanie S Humphrey
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1891411732
PECOS PAC ID: 3072982305
Enrollment ID: I20221208002444
Provider NameMichael Travers
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1629444757
PECOS PAC ID: 4486028172
Enrollment ID: I20230320002628
Provider NameMeghan Elizabeth Majeski
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1134998784
PECOS PAC ID: 0648623033
Enrollment ID: I20240201002814
Provider NameMarisa Mccormack
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1730705518
PECOS PAC ID: 7416326764
Enrollment ID: I20240315001612

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Pro Vita Physical Therapy Llc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Pro Vita Physical Therapy Llc
638 N Ferdon Blvd Ste 1,
Crestview, FL 32536-2170

Ph: (850) 331-3017		Pro Vita Physical Therapy Llc
638 N Ferdon Blvd Ste 1,
Crestview, FL 32536-2170

Ph: (850) 331-3017

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.