IndividualActive
Matthew Civitello, MPT
NPI 1154895233 · Pediatric Physical Therapist · Orlando, FL
Provider details
- NPI number
- 1154895233
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MPT
- Sex
- Male
- Sole proprietor
- No
- License
- PT27455 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
13535 Nemours Pkwy
Orlando, FL 32827-7402
Phone: (407) 650-4000
Approximate (ZIP-level) locationGet directions
Mailing address
10140 Centurion Pkwy N
Jacksonville, FL 32256-0532
Registry dates
- Enumerated
- 2019-01-11
- Last updated
- 2019-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.