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 1881404796

Pro Vita Physical Therapy LLC is a Physical Therapist in Pensacola, Florida. Registered with an NPI since 2025.

In the registry since
2025
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

4700 Bayou Blvd Ste 1C
Pensacola, FL 32503-2670
Phone: (850) 331-3017
Fax: (855) 595-2306
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1881404796
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPro Vita Physical Therapy LLC
Authorized official Carla Bulla — President · (850) 331-3017
Other names Pro Vita Physical Therapy - Pensacola
NPI enumeratedJanuary 13, 2025
Last updated in NPPESJanuary 13, 2025
Certification dateJanuary 12, 2025
Mailing address638 N Ferdon Blvd Ste 1, Crestview, FL 32536-2170

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