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

Pro Vita Physical Therapy LLC

Organization Physical Therapist · NPI 1881404796

Pro Vita Physical Therapy LLC provides Physical Therapist services in Pensacola, Florida. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4700 Bayou Blvd Ste 1C
Pensacola, FL 32503-2670
Phone: (850) 331-3017
Fax: (855) 595-2306
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1881404796
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPro Vita Physical Therapy LLC
Authorized official Carla Bulla — President · (850) 331-3017
Other names Pro Vita Physical Therapy - Pensacola
NPI enumeratedJanuary 13, 2025
Last updated in NPPESJanuary 13, 2025
Certification dateJanuary 12, 2025
Mailing address638 N Ferdon Blvd Ste 1, Crestview, FL 32536-2170

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