Gator Physical Therapy

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

GATOR PHYSICAL THERAPY

Doing business as

Gator PT

Practice address

295 Terranova Blvd
Winter Haven, FL 33884-3425

Phone

(703) 220-6900

Fax

(863) 268-7314

NPI assigned

Aug 24, 2019

Last updated

Aug 24, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christy Despain, PT, DPTNPI 1386151728

Title

Manager, Physical Therapist

Phone

(703) 554-3484

Specialties & licenses 1

Addresses

Other names 1

• Gator PT Doing business as

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.

• Christy Despain, DPT

  • Physical Therapist
  • Winter Haven, FL
  • NPI 1386151728
  Authorized official Same address or phone

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

{
    "created_epoch": "1566604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566604800000",
    "number": "1679120554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 TERRANOVA BLVD",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338843425",
            "telephone_number": "703-220-6900",
            "fax_number": "863-268-7314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 TERRANOVA BLVD",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338843425",
            "telephone_number": "703-220-6900",
            "fax_number": "863-268-7314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATOR PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-24",
        "last_updated": "2019-08-24",
        "status": "A",
        "authorized_official_last_name": "DESPAIN",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "MANAGER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "703-554-3484",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gator PT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gary L Stevensmdpa (Central Florida Dermatology skin Cancer Center)
• Alan G Gasner, MD
• Blair Gaston
• Gerald Gatlin, LMHC
• Robert Gatlin, DC
• Kimberly Gaznabie, NP
• Mercy Mammen Geevarghese, ARNP FNP-C
• Lakendra Elizabeth Geffrard, APRN
• Robert Geller, D.M.D.
• Gena Obry

• Physical Medicine & Rehabilitation Physician in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.