Cristine Plaza, DPT
Individual provider Active NPI Physical Therapist · Kenneth City, FL
NPI 1609311968 · NPPES record last updated Jul 18, 2025
Key facts
- NPI
- 1609311968
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT32127 (FL)
- Practice address
- 4655 66TH St N
Kenneth City, FL 33709-4827 - Phone
- (727) 546-4700
- Fax
- (727) 549-8108
- NPI assigned
- Dec 22, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170612002425 | FL | Practitioner - Physical Therapist in Private Practice | 0749558955 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT32127 | FL | MD | Physical Therapist |
Practice roles (4 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back in Motion Cape Coral LLC | Physical Therapist | Current |
Accepting new patients |
| Lifestyle Hearing Corporation USA Inc | Current |
Accepting new patients | |
| Sports and Orthopedic Rehabilitation Services Inc | Past |
Accepting new patients | |
| Rehabclinics SPT Inc | Physical Therapist | Past |
Accepting new patients |
Locations
2708 Santa Barbara Blvd
Ste 145
Cape Coral, FL 33914
Phone (239) 214-3589
9400 Gladiolus Dr
Ste 100
Fort Myers, FL 33908
Phone (239) 223-0484
9724 Commerce Center Ct
Ste B
Fort Myers, FL 33908
Phone (239) 223-0484
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT32127 | FL | Yes |
Addresses
Primary practice location
4655 66TH St N
Kenneth City, FL 33709-4827
Mailing address
4655 66TH St N
Kenneth City, FL 33709-4827
Phone (727) 546-4700
Other providers in Kenneth City, FL
- Kimberly Nguyen
- Paradise Garden Alf
- Paradise Gardens Alf
- Krishnan E Parayath
- Seema K Patel
- Donna L Powers
- Primacare Health, LLC
- Alexa Radford
- Lisbet Rodriguez Santoyo
- Liliana Batista Rodriguez
All providers in Kenneth City, FL · Physical Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.