OrganizationActive
Family Physical Therapy Center
NPI 1235324005 · Physical Therapy Clinic/Center · Brandon, FL
Provider details
- NPI number
- 1235324005
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Janiesse Rivera, President(813) 654-3808
- License
- PT0005096 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
704 W Lumsden Rd
Brandon, FL 33511-6260
Phone: (813) 654-3808
Street-level locationGet directions
Mailing address
704 W Lumsden Rd
Brandon, FL 33511-6260
Registry dates
- Enumerated
- 2007-09-13
- Last updated
- 2008-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.