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

Tanise Fenelon, DPT

Individual provider Physical Therapist · NPI 1114243458

Tanise Fenelon, DPT is a Physical Therapist in Winter Haven, Florida. Licensed in Florida. Registered with an NPI since 2010.

Licensed in
FL
In the registry since
2010
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

650 N Lake Howard Dr
Winter Haven, FL 33881-3162
Phone: (863) 293-4456
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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 PT23791 (FL)

Record details

NPI number1114243458
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedApril 12, 2010
Last updated in NPPESApril 12, 2010
Mailing address650 N Lake Howard Dr, Winter Haven, FL 33881-3162

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