OrganizationActive
Country Club PT PA
NPI 1578928420 · Geriatric Physical Therapist · Venice, FL
Provider details
- NPI number
- 1578928420
- Entity type
- Organization
- Primary specialty
- Geriatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Lisa Corn, Office Manager(941) 451-6689
- License
- PT21464 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
1331 Whispering Ln
Venice, FL 34285-6449
Phone: (941) 451-6689
Street-level locationGet directions
Mailing address
1331 Whispering Ln
Venice, FL 34285-6449
Registry dates
- Enumerated
- 2015-12-19
- Last updated
- 2015-12-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.