Joseph Brian Bodovetz
Individual provider Active NPI Physical Therapist · Eustis, FL
NPI 1962357178 · NPPES record last updated Mar 3, 2026
Key facts
- NPI
- 1962357178
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT40829 (FL)
- Practice address
- 443 Plaza Dr
Eustis, FL 32726-6523 - Phone
- (352) 589-5595
- NPI assigned
- Mar 3, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT40829 | FL | MD | Physical Therapist |
Networks
- Freedom Health HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT40829 | FL | Yes |
Addresses
Primary practice location
443 Plaza Dr
Eustis, FL 32726-6523
Mailing address
1245 Grand Ridge Cir
Gulf Breeze, FL 32563-5330
Other providers in Eustis, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.