OrganizationActive
65 Plus LLC
NPI 1205292489 · Geriatric Physical Therapist · Venice, FL
Provider details
- NPI number
- 1205292489
- Entity type
- Organization
- Primary specialty
- Geriatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Authorized official
- Matthew Corn, President
- License
- 21464 (FL)
Practice location
1978 Tamiami Trl S
Suite 5 & 6
Venice, FL 34293-5006
Phone: (941) 451-6607
Fax: (941) 451-2028
Mailing address
350 W Venice Ave # 1946
Venice, FL 34285-0001
Registry dates
- Enumerated
- 2016-01-04
- Last updated
- 2016-06-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.