OrganizationActive
Gator Physical Therapy
NPI 1679120554 · Physical Medicine & Rehabilitation Physician · Winter Haven, FL
Provider details
- NPI number
- 1679120554
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Christy Despain, Manager, Physical Therapist(703) 554-3484
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
295 Terranova Blvd
Winter Haven, FL 33884-3425
Phone: (703) 220-6900
Fax: (863) 268-7314
Street-level locationGet directions
Mailing address
295 Terranova Blvd
Winter Haven, FL 33884-3425
Other names (DBA / former)
- Doing business as
- Gator PT
Registry dates
- Enumerated
- 2019-08-24
- Last updated
- 2019-08-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.