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

Mr. Roman Chance Fox, RECREATIONTHERAPIST

Individual provider Physical Therapy Assistant · NPI 1396289328

Mr. Roman Chance Fox, RECREATIONTHERAPIST is a Physical Therapy Assistant in Lutz, Florida. Licensed in Florida. Registered with an NPI since 2016.

Licensed in
FL
In the registry since
2016
Specialties on file
3

Practice location Address checks out

17502 Fallowfield Dr
Lutz, FL 33549-5584
Phone: (757) 333-1112
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence MH27960 (FL)
Physical Therapy Assistant Taxonomy 225200000X · Licence PTA 26297 (FL)
Recreation Therapist Taxonomy 225800000X

Record details

NPI number1396289328
Entity typeIndividual (Type 1)
GenderMale
Credentials RECREATIONTHERAPIST
Sole proprietorNo
NPI enumeratedDecember 9, 2016
Last updated in NPPESJune 29, 2026
Certification dateJune 29, 2026

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