PEACE RIVER PHYSICAL THERAPY & REHABILITATION, LLC
NPI 1285104828
Clinic/Center - Physical Therapy in Port Charlotte, FL

Active since November 27, 2018
2200 KINGS HWY UNIT 2F, PORT CHARLOTTE, FL 33980(941) 888-4561(941) 347-4695 Get Directions Write a Review

NPPES record last updated: July 28, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 28, 2020, Mar 25, 2020, Nov 27, 2018 (3 updates tracked since 2018).

About Peace River Physical Therapy & Rehabilitation, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEACE RIVER PHYSICAL THERAPY & REHABILITATION, LLC (NPI 1285104828) is a healthcare organization registered as a physical therapy in Port Charlotte, Florida and active in the NPI registry since November 2018. The organization lists Lance D Doeble, Ambr, as its authorized official.

NPPES Registry Identity

NPI1285104828
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NamePEACE RIVER PHYSICAL THERAPY & REHABILITATION, LLC
Location Address2200 KINGS HWY UNIT 2FPort Charlotte, FL 33980-5760
Mailing AddressPo Box 510326Punta Gorda, FL 33951-0326 · (941) 888-4561
Fax(941) 347-4695
Organization SubpartNo
Authorized OfficialLance D DoebleAmbr · (941) 888-4561
Enumeration DateNovember 27, 2018
Last NPPES UpdateJuly 28, 20203 updates tracked since enumeration
NPPES CertifiedJuly 28, 2020
✔ NPI 1285104828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Also ListedPhysical TherapistTaxonomy 225100000X
2200 KINGS HWY UNIT 2F, Port Charlotte, FL 33980

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peace River Physical Therapy & Rehabilitation, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Peace River Physical Therapy & Rehabilitation, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Therapist in Private Practice
NPI 1821248170
2200 KINGS HWY UNIT 2F
Port Charlotte, FL 33980
(941) 888-4561
✔ Accepts MedicareSame address

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 Peace River Physical Therapy & Rehabilitation, LLC's NPI number?

The NPI number for Peace River Physical Therapy & Rehabilitation, LLC is 1285104828. It was assigned to this organization in the NPPES registry on November 27, 2018.

Where is Peace River Physical Therapy & Rehabilitation, LLC located?

Peace River Physical Therapy & Rehabilitation, LLC is located at 2200 Kings Hwy Unit 2F, Port Charlotte, FL 33980. The listed phone number is (941) 888-4561.

What is Peace River Physical Therapy & Rehabilitation, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Is Peace River Physical Therapy & Rehabilitation, LLC enrolled in Medicare?

Yes. Peace River Physical Therapy & Rehabilitation, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Peace River Physical Therapy & Rehabilitation, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Peace River Physical Therapy & Rehabilitation, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Peace River Physical Therapy & Rehabilitation, LLC was last updated on July 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.