Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pro Vita Physical Therapy LLC

Organization Physical Therapist · NPI 1841944535

Pro Vita Physical Therapy LLC provides Physical Therapist services in Fort Walton Beach, Florida. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

411 Racetrack Rd NE
Fort Walton Beach, FL 32547-2503
Phone: (850) 331-3017
Fax: (855) 978-1838
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1841944535
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPro Vita Physical Therapy, LLC
Authorized official Carla Bulla — Owner · (850) 331-3017
Other names Pro Vita Physical Therapy - Shalimar; Pro Vita Physical Therapy-Fwb
NPI enumeratedFebruary 10, 2022
Last updated in NPPESFebruary 13, 2026
Certification dateFebruary 13, 2026
Mailing address638 N Ferdon Blvd Ste 1, Crestview, FL 32536-2170

Other providers in Fort Walton Beach