Pro Vita Physical Therapy LLC
NPI 1790332351 · Physical Therapy Clinic/Center · Crestview, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pro Vita Physical Therapy LLC is a Physical Therapy Clinic/Center organization in Crestview, FL (NPI 1790332351).
Provider details
- NPI number
- 1790332351
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Carla Bulla, Owner(850) 902-7315
Specialties & taxonomies
Ambulatory Health Care Facilities
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Occupational Therapist225X00000X
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
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 1987 Highway 87Navarre, FL 32566-1046Phone: (850) 710-7163Fax: (855) 975-2471
Registry dates
- Enumerated
- 2019-08-19
- Last updated
- 2022-08-29
- Certified
- 2022-08-29
Frequently asked questions
- What is Pro Vita Physical Therapy LLC's NPI number?
- Pro Vita Physical Therapy LLC's National Provider Identifier (NPI) is 1790332351, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pro Vita Physical Therapy LLC?
- Pro Vita Physical Therapy LLC is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Pro Vita Physical Therapy LLC located?
- Pro Vita Physical Therapy LLC's practice location on file with NPPES is 638 N Ferdon Blvd Ste 1, Crestview, FL 32536-2170.
- What is Pro Vita Physical Therapy LLC's phone number?
- The practice phone number listed in the NPPES registry for Pro Vita Physical Therapy LLC is (850) 331-3017.
- Does Pro Vita Physical Therapy LLC accept Medicare?
- Pro Vita Physical Therapy LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pro Vita Physical Therapy LLC?
- The authorized official listed on Pro Vita Physical Therapy LLC's NPPES record is Carla Bulla, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pro Vita Physical Therapy LLC's NPI active?
- Yes — Pro Vita Physical Therapy LLC's NPI (1790332351) is active in the NPPES registry as of the last update on 2022-08-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.