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

Mr. Keefe Charles Fugleberg, PT

Individual provider Physical Therapist · NPI 1790760924

Mr. Keefe Charles Fugleberg, PT is a Physical Therapist in Private Practice in Sarasota, Florida. Qualified in 1998, 28 years ago. Practices with Club 50, LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
28
Licensed in
FL
In the registry since
2005
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1727 2nd St Ste 2
Sarasota, FL 34236-8524
Phone: (941) 951-0170
Fax: (941) 993-1088
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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 PT18366 (FL)

Record details

NPI number1790760924
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedDecember 9, 2005
Last updated in NPPESNovember 6, 2018

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Club 50, Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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