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

Pro Vita Physical Therapy LLC

Organization Physical Therapist · NPI 1841944535

Pro Vita Physical Therapy LLC is a Physical Therapist in Fort Walton Beach, Florida. Registered with an NPI since 2022.

In the registry since
2022
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

411 Racetrack Rd NE
Fort Walton Beach, FL 32547-2503
Phone: (850) 331-3017
Fax: (855) 978-1838
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1841944535
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPro Vita Physical Therapy, LLC
Authorized official Carla Bulla — Owner · (850) 331-3017
Other names Pro Vita Physical Therapy - Shalimar; Pro Vita Physical Therapy-Fwb
NPI enumeratedFebruary 10, 2022
Last updated in NPPESFebruary 13, 2026
Certification dateFebruary 13, 2026
Mailing address638 N Ferdon Blvd Ste 1, Crestview, FL 32536-2170

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