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

Michele Martucci

Individual provider Physical Therapist · NPI 1174111538

Michele Martucci is a Physical Therapist in Private Practice in Fort Myers, Florida. Qualified in 2020, 6 years ago. Practices with Dynamic Mobile Rehab LLC, a 10-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
In the registry since
2021
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Practice location Address checks out

15751 San Carlos Blvd Ste 4
Fort Myers, FL 33908-3315
Phone: (239) 337-2739
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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 PT36618 (FL)

Record details

NPI number1174111538
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 1, 2021
Last updated in NPPESJanuary 1, 2021
Certification dateJanuary 1, 2021

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 Dynamic Mobile Rehab Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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