Gator PT – Physical Medicine & Rehabilitation Physician, NPI 1679120554

Gator PT is a healthcare provider. based in Winter haven, Florida. specializing in Physical Medicine & Rehabilitation Physician. The NPI Number for Gator PT is 1679120554

Main info

Organization
Name
Gator PT
NPI
1679120554
Phone
(703) 220-6900
Address
295 TERRANOVA BLVD
Authorized Official
CHRISTY DESPAIN MANAGER, PHYSICAL THERAPIST PT, DPT
Enumeration Date
24 August 2019
Last Update Date
24 August 2019
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness80
Years active:6State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Gator PT

  • 295, Terranova Boulevard, Winter Haven, Polk County, Florida, 33884, United States

    WINTER HAVEN, FL 338843425

    Phone: (703) 220-6900

    Fax: (863) 268-7314

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33884)

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Reviews

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Frequently asked questions

Does Gator PT share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Gator PT uses 1679120554.
Does CMS list Gator PT as active?
Yes — Gator PT is active in the NPI listing used on this page.
What taxonomy line describes Gator PT?
For research purposes, treat Gator PT as Physical Medicine & Rehabilitation Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect Gator PT on a map?
Expect Winter Haven, Florida as a primary anchor for Gator PT unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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