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Pro Vita Physical Therapy LLC

NPI 1841944535ActiveOrganization· Physical Therapist· Fort Walton Beach, FL

Physical Therapist in Fort Walton Beach, Florida, registered in NPPES in February 2022, part of Pro Vita Physical Therapy, LLC. The authorized official on file is Carla J. Bulla, MED, PT, DPT, ATC, Ceo/ Founder.

Overview

NPI1841944535
StatusActive
Entity typeOrganization (subpart)
Parent organizationPro Vita Physical Therapy, LLC
NPI issuedFeb 10, 2022
Last updated in NPPESSep 21, 2026
Certified by providerSep 21, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other physical therapists in Fort Walton Beach

All 74 physical therapists in Fort Walton Beach · All physical therapists in Florida