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

Vishal Mistry

Individual provider Physical Therapist · NPI 1881015212

Vishal Mistry is a Physical Therapist in Private Practice in Port Orange, Florida. Qualified in 2013, 13 years ago. Practices with Synergy Care Southeast LLC, a 199-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
13
Licensed in
TX
In the registry since
2014
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Practice location Address checks out

5535 S Williamson Blvd
Port Orange, FL 32128-8311
Phone: (800) 330-7711
Fax: (386) 944-7202
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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 1237959 (TX)

Record details

NPI number1881015212
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 3, 2014
Last updated in NPPESJanuary 3, 2014
Mailing address5535 S Williamson Blvd, Port Orange, FL 32128-8311

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Synergy Care Southeast Llc — 199 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Port Orange