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 Therapist · NPI 1790332351

Pro Vita Physical Therapy LLC is a Physical Therapist in Crestview, Florida. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
3
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

279 Texas Pkwy
Crestview, FL 32536-2125
Phone: (850) 331-3017
Fax: (855) 975-2575
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
Physical Therapist Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X

Record details

NPI number1790332351
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carla Bulla — Owner · (850) 902-7315
NPI enumeratedAugust 19, 2019
Last updated in NPPESJuly 24, 2026
Certification dateJuly 24, 2026
Mailing address638 N Ferdon Blvd Ste 1, Crestview, FL 32536-2170

Other providers in Crestview