Provider Demographics
NPI:1326698630
Name:MOVING FORWARD PHYSICAL THERAPY, INC.
Entity Type:Organization
Organization Name:MOVING FORWARD PHYSICAL THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:WHEELER
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:352-875-4143
Mailing Address - Street 1:10137 NW 19TH PL
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34482-2507
Mailing Address - Country:US
Mailing Address - Phone:352-875-4143
Mailing Address - Fax:
Practice Address - Street 1:7750 SW 60TH AVE STE E
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34476-6472
Practice Address - Country:US
Practice Address - Phone:352-433-1918
Practice Address - Fax:352-433-0950
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-18
Last Update Date:2020-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy