Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pro Vita Physical Therapy LLC

Organization Physical Therapy Clinic/Center · NPI 1063185684

Pro Vita Physical Therapy LLC is a Physical Therapy Clinic/Center in Navarre, Florida. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1987 Highway 87
Navarre, FL 32566-1046
Phone: (850) 710-7163
Fax: (855) 975-2471
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X

Record details

NPI number1063185684
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPro Vita Physical Therapy, LLC
Authorized official Carla Bulla — Owner · (850) 902-7315
Other names Pro Vita Physical Therapy - Navarre; Pro Vita Physical Therapy - Navarre
NPI enumeratedJuly 29, 2021
Last updated in NPPESAugust 29, 2022
Certification dateAugust 29, 2022
Mailing address638 N Ferdon Blvd Ste 1, Crestview, FL 32536-2170

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