Organization Active NPI

Preserva Therapy Group Inc

  • Physical Therapy Clinic/Center
  • Lake Wales, FL
National Provider Identifier
1073988648
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT18312 Issued in FL
Legal business name
PRESERVA THERAPY GROUP INC
Practice address
105 E Stuart Ave
Lake Wales, FL 33853-4127
Phone
(863) 314-8940
Fax
(863) 385-0508
NPI assigned
Dec 8, 2015
Last updated
May 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Michelle Rice Alvarez
Title
Physical Therapist
Phone
(863) 658-1797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT18312 FL Primary

Addresses

Primary practice location

105 E Stuart Ave
Lake Wales, FL 33853-4127

Mailing address

PO Box 152
Babson Park, FL 33827-0152
Phone (863) 658-1797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160119002174 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1850694282 Receives reassigned benefits from 1 practitioner
Practice locations: Lake Wales, FL

National Provider Directory

National Provider Directory

Locations

1 Scenic Central
Ste 107
Lake Wales, FL 33853
Phone (863) 314-8940

105 E Stuart Ave
Lake Wales, FL 33853
Phone (863) 314-8940

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1449532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1073988648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 152",
            "city": "BABSON PARK",
            "state": "FL",
            "postal_code": "338270152",
            "telephone_number": "863-658-1797",
            "fax_number": "863-385-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E STUART AVE",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534127",
            "telephone_number": "863-314-8940",
            "fax_number": "863-385-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESERVA THERAPY GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-08",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "RICE ALVAREZ",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "863-658-1797",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT18312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Wales, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.