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

Blair Gaston

Individual provider Physical Therapist · NPI 1487260790

Blair Gaston is a Physical Therapist in Private Practice in Winter Haven, Florida. Qualified in 2020, 6 years ago. Practices with Optimal Performance and Physical Therapies Winter Haven, LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
In the registry since
2020
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Practice location Address checks out

5535 Cypress Gardens Blvd Ste 260
Winter Haven, FL 33884-2241
Phone: (863) 877-0605
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT36044 (FL)

Record details

NPI number1487260790
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 22, 2020
Last updated in NPPESSeptember 22, 2020
Certification dateSeptember 22, 2020
Mailing address21756 State Road 54 Ste 102, Lutz, FL 33549-2905

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Optimal Performance And Physical Therapies Winter Haven, Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Winter Haven