Country Club PT PA
NPI 1578928420 · Geriatric Physical Therapist · Venice, FL
Country Club PT PA is a Geriatric Physical Therapist organization in Venice, FL (NPI 1578928420).
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
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
Mailing address
Registry dates
- Enumerated
- 2015-12-19
- Last updated
- 2015-12-19
Frequently asked questions
- What is Country Club PT PA's NPI number?
- Country Club PT PA's National Provider Identifier (NPI) is 1578928420, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Country Club PT PA?
- Country Club PT PA is classified in the NPPES registry as Geriatric Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Country Club PT PA located?
- Country Club PT PA's practice location on file with NPPES is 1331 Whispering Ln, Venice, FL 34285-6449.
- What is Country Club PT PA's phone number?
- The practice phone number listed in the NPPES registry for Country Club PT PA is (941) 451-6689.
- Who is the authorized official for Country Club PT PA?
- The authorized official listed on Country Club PT PA's NPPES record is Lisa Corn, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Country Club PT PA's NPI active?
- Yes — Country Club PT PA's NPI (1578928420) is active in the NPPES registry as of the last update on 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.