Organization Active NPI

Gasparilla Physical Therapy, Health & Fitness,LLC

  • Physical Therapist
  • Port Charlotte, FL
National Provider Identifier
1174464515
Registry record updated Jul 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
GASPARILLA PHYSICAL THERAPY, HEALTH & FITNESS,LLC
Practice address
9462 St Paul Dr
Port Charlotte, FL 33981-3259
Phone
(865) 440-4534
NPI assigned
Apr 1, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2026

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

Authorized official

Name
Julie Ruthann Williams, MSPTNPI 1851372841
Title
Physical Therapist/Owner
Phone
(865) 440-4534

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

9462 St Paul Dr
Port Charlotte, FL 33981-3259

Mailing address

9462 St Paul Dr
Port Charlotte, FL 33981-3259
Phone (865) 440-4534

Other names 1

  • Gasparilla Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260508000556 FL Part B Supplier - Clinic/Group Practice 1153899083 Receives reassigned benefits from 1 practitioner
Practice locations: Port Charlotte, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1775001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784419200000",
    "number": "1174464515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9462 ST PAUL DR",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339813259",
            "telephone_number": "865-440-4534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9462 ST PAUL DR",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339813259",
            "telephone_number": "865-440-4534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASPARILLA PHYSICAL THERAPY, HEALTH & FITNESS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-01",
        "last_updated": "2026-07-19",
        "certification_date": "2026-07-19",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "RUTHANN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "865-440-4534",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gasparilla Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.