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

Thomas Adderley, PT

Individual provider Physical Therapist · NPI 1487075370

Thomas Adderley, PT is a Physical Therapist in Private Practice in Port Charlotte, Florida. Qualified in 2004, 22 years ago. Practices with Ivyrehab Network Inc, a 653-clinician group and accepts Medicare assignment. Licensed in Florida and New Jersey.

Years since qualifying
22
Licensed in
FL, NJ
In the registry since
2013
Specialties on file
2
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

4130 Tamiami Trl Ste 2
Port Charlotte, FL 33952-9207
Phone: (844) 287-2286
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 21595 (FL)
Physical Therapist Taxonomy 225100000X · Licence 40QA01523100 (NJ)

Record details

NPI number1487075370
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedDecember 19, 2013
Last updated in NPPESAugust 17, 2020
Certification dateAugust 17, 2020
Mailing address2675 Winkler Ave Fl 2, Fort Myers, FL 33901-9342

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Ivyrehab Network Inc — 653 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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