65 PLUS PHYSICAL THERAPY - COUNTRY CLUB PHYSICAL THERAPY
NPI 1205292489
Physical Therapist - Geriatrics in Venice, FL
About 65 Plus Physical Therapy - Country Club Physical Therapy NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
65 PLUS PHYSICAL THERAPY - COUNTRY CLUB PHYSICAL THERAPY (NPI 1205292489) is a healthcare organization registered as a geriatrics in Venice, Florida and active in the NPI registry since January 2016. The organization lists Matthew Corn, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
65 Plus Physical Therapy - Country Club Physical Therapy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to 65 Plus Physical Therapy - Country Club Physical Therapy, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is 65 Plus LLC's NPI number?
The NPI number for 65 Plus LLC is 1205292489. It was assigned to this organization in the NPPES registry on January 4, 2016. The provider is doing business as 65 Plus Physical Therapy - Country Club Physical Therapy.
Where is 65 Plus LLC located?
65 Plus LLC is located at 1978 Tamiami Trl S Suite 5 & 6, Venice, FL 34293. The listed phone number is (941) 451-6607.
What is 65 Plus LLC's specialty?
The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.
Is 65 Plus LLC enrolled in Medicare?
Yes. 65 Plus LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through 65 Plus LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to 65 Plus LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for 65 Plus LLC was last updated on June 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# 65 Plus Physical Therapy - Country Club Physical Therapy · NPI 1205292489
Geriatrics organization in Venice, Florida. Organization record, active in the CMS NPPES registry since January 4, 2016.
## Identity
- **NPI:** 1205292489 (Entity type: Organization)
- **Enumerated:** January 4, 2016
- **Primary specialty:** Physical Therapist - Geriatrics · taxonomy 2251G0304X
- **Legal business name:** 65 Plus Llc
- **Organization subpart:** No
- **Authorized official:** Matthew Corn, PRESIDENT
## Practice location
- **Address:** 1978 TAMIAMI TRL S, SUITE 5 & 6, Venice, FL 34293-5006
- **Phone:** (941) 451-6607 · **Fax:** (941) 451-2028
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Physical Therapist in Private Practice) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 14, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1205292489) · Data from the CMS NPPES public registry.