Provider Demographics
NPI:1184227241
Name:COMPASS DPT, LLC
Entity Type:Organization
Organization Name:COMPASS DPT, LLC
Other - Org Name:FYZICAL THE VILLAGES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINIC MANAGER/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA ANA RODESA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAPIJASZKO
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:352-205-5195
Mailing Address - Street 1:8815 SE 132ND PL
Mailing Address - Street 2:
Mailing Address - City:SUMMERFIELD
Mailing Address - State:FL
Mailing Address - Zip Code:34491-9200
Mailing Address - Country:US
Mailing Address - Phone:352-205-5195
Mailing Address - Fax:
Practice Address - Street 1:3990 E SR 44
Practice Address - Street 2:
Practice Address - City:WILDWOOD
Practice Address - State:FL
Practice Address - Zip Code:34785-7482
Practice Address - Country:US
Practice Address - Phone:352-205-5195
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-19
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Multi-Specialty