# THIRD PHASE MEDICAL, LLC DBA PHYSICAL THERAPY NOW, PINELLAS PARK

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NEXT PHASE MEDICAL LLC
- **Other names:** PHYSICAL THERAPY NOW, LARGO
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1790319119
- **Legal business name:** NEXT PHASE MEDICAL LLC
- **Authorized official:** DEBRA WITTLES (ADMINISTRATOR)
- **Authorized official phone:** (727) 275-7668

## Contact information

- **Practice address:** 6709 49TH ST N, PINELLAS PARK, FL 33781-5728
- **Practice address phone:** (727) 914-6343
- **Practice address fax:** (727) 914-6341
- **Mailing address:** 6709 49TH ST N, PINELLAS PARK, FL 33781-5728
- **Mailing address phone:** (727) 914-6343
- **Mailing address fax:** (727) 914-6341

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/25/2020
- **Last updated:** 10/18/2021