Individual provider Active NPI

Anthony Efstathiades

  • Physical Therapist
  • Punta Gorda, FL
National Provider Identifier
1518686799
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT39314 Issued in FL
Practice address
530 E Olympia Ave Ste 112
Punta Gorda, FL 33950-3838
Phone
(941) 575-7300
NPI assigned
Aug 23, 2022
Last updated
Feb 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PTT39314 FL
Physical Therapist 225100000X PT39314 FL Primary

Addresses

Primary practice location

530 E Olympia Ave Ste 112
Punta Gorda, FL 33950-3838

Mailing address

3050 Clifford St
Port Charlotte, FL 33980-5841
Phone (941) 204-7961

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220904000025 FL Practitioner - Physical Therapist in Private Practice 5698159911 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of South Florida College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fitness Quest - Venice LLCGroup PAC ID 9739125964, 44 clinicians

Practice addresses (Care Compare)

400 Tamiami TRL S
Suite 210
Venice, FL 34285-2626
Phone 87746937782004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTT39314FLMDPhysical Therapy Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Fitness Quest - Venice LLC Physical Therapist CurrentSince Feb 1, 2025 Accepting new patients
Fitness Quest - Punta Gorda LLC Physical Therapist CurrentSince Aug 29, 2022 Accepting new patients
Fq0016, LLC Physical Therapist CurrentSince Aug 29, 2022 Accepting new patients
Fitness Quest - Venice LLC CurrentSince Feb 1, 2025 Accepting new patients
Fq0014 Physical Therapist CurrentSince Aug 29, 2022 Accepting new patients
Fitness Quest - Bradenton LLC Physical Therapy CurrentSince Aug 29, 2022 Accepting new patients
Fitness Quest-Port Charlotte LLC Physical Therapist CurrentSince Aug 29, 2022 Accepting new patients

Locations

3657 Cortez Rd W
Ste 110
Bradenton, FL 34210
Phone (941) 361-9020

2828 S McCall Rd
Ste 25
Englewood, FL 34224
Phone (941) 460-6174

11930 Fairway Lakes Dr
Fort Myers, FL 33913
Phone (239) 687-3224

11930 Fairway Lakes Dr
Ste 103104
Fort Myers, FL 33913
Phone (239) 687-3224

18900 N Tamiami Trl
Ste A5
North Ft Myers, FL 33903
Phone (239) 451-4922

11045 Tamiami Trl S
North Port, FL 34287
Phone (877) 469-3778

1649 Tamiami Trl
Ste 1A
Pt Charlotte, FL 33948
Phone (941) 743-6700

530 E Olympia Ave
#112
Punta Gorda, FL 33950
Phone (941) 575-7300

530 E Olympia Ave
Ste 112
Punta Gorda, FL 33950
Phone (941) 575-7300

400 Tamiami Trl S
Ste 210
Venice, FL 34285
Phone (877) 469-3778

Networks

  • Freedom Health HMO Network

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1518686799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 CLIFFORD ST",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339805841",
            "telephone_number": "941-204-7961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 E OLYMPIA AVE STE 112",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339503838",
            "telephone_number": "941-575-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EFSTATHIADES",
        "first_name": "ANTHONY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-23",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PTT39314",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT39314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Punta Gorda, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.