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

Mr. Anthony Peter Bastolla, MSPT

Individual provider Orthopedic Physical Therapist · NPI 1689705865

Mr. Anthony Peter Bastolla, MSPT is a Physical Therapist in Private Practice in Longwood, Florida. Qualified in 2002, 24 years ago. Practices with Sportscare Institute LLC, a 14-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
24
Licensed in
FL
In the registry since
2007

Practice location Address checks out

705 W State Road 434
Longwood, FL 32750-4907
Phone: (407) 831-6801
Show map & directions

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

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence PT20901 (FL)

Record details

NPI number1689705865
Entity typeIndividual (Type 1)
GenderMale
Credentials MSPT
Sole proprietorNo
NPI enumeratedMarch 8, 2007
Last updated in NPPESJuly 8, 2007
Mailing address426 Oak Haven Dr, Altamonte Springs, FL 32701-6318

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Sportscare Institute Llc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Longwood