Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PRO VITA PHYSICAL THERAPY LLC
NPI 1790332351
Clinic/Center - Physical Therapy in Crestview, FL

Active since August 19, 2019
279 TEXAS PKWY, CRESTVIEW, FL 32536(850) 331-3017(855) 975-2575 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 24, 2026, Aug 29, 2022, Jul 27, 2021 and 2 more (5 updates tracked since 2019).

About Pro Vita Physical Therapy Llc NPPES

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

PRO VITA PHYSICAL THERAPY LLC (NPI 1790332351) is a healthcare organization registered as a physical therapy in Crestview, Florida and active in the NPI registry since August 2019. The organization lists Carla Bulla, Owner, as its authorized official.

NPPES Registry Identity

NPI1790332351
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NamePRO VITA PHYSICAL THERAPY LLC
Location Address279 TEXAS PKWYCrestview, FL 32536-2125
Mailing Address638 N Ferdon Blvd Ste 1Crestview, FL 32536-2170 · (850) 331-3017 · Fax (855) 975-2575
Fax(855) 975-2575
Organization SubpartNo
Authorized OfficialCarla BullaOwner · (850) 902-7315
Enumeration DateAugust 19, 2019
Last NPPES UpdateJuly 24, 20265 updates tracked since enumeration
NPPES CertifiedJuly 24, 2026
NPI 1790332351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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
Also ListedOccupational TherapistTaxonomy 225X00000X
279 TEXAS PKWY, Crestview, FL 32536

Other Identifiers 2

Other8JY2NFL · Florida Blue
Medicaid103517900FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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 Pro Vita Physical Therapy LLC's NPI number?

The NPI number for Pro Vita Physical Therapy LLC is 1790332351. It was assigned to this organization in the NPPES registry on August 19, 2019.

Where is Pro Vita Physical Therapy LLC located?

Pro Vita Physical Therapy LLC is located at 279 Texas Pkwy, Crestview, FL 32536. The listed phone number is (850) 331-3017.

What is Pro Vita Physical Therapy LLC's specialty?

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

What insurance does Pro Vita Physical Therapy LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare list Pro Vita Physical Therapy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pro Vita Physical Therapy LLC was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days 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.