| Organization Name: | COMPASS PHYSICAL THERAPY |
| NPI Number: | 1134307986 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JENNIFER VONMAACK (OWNER) |
| Mailing Address: | 807 N Tyndall Pkwy Callaway |
| State: | FL US |
| Postal Code: | 324049495 |
| Phone Number: | 8507630505 |
| Fax Number: | 8507630966 |
| NPI Enumeration Date: | 02/04/2008 |
| NPI Last Update Date: | 02/04/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | PTA 20956 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |