Provider Demographics
NPI:1700468113
Name:MASTERING MOBILITY PT
Entity Type:Organization
Organization Name:MASTERING MOBILITY PT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PT, DPT
Authorized Official - Prefix:DR
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:CAROLYN
Authorized Official - Last Name:MINNITI
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:301-385-4972
Mailing Address - Street 1:13564 CYPRESS GLEN LN UNIT 208
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33637-1117
Mailing Address - Country:US
Mailing Address - Phone:301-385-4972
Mailing Address - Fax:
Practice Address - Street 1:13564 CYPRESS GLEN LN UNIT 208
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33637-1117
Practice Address - Country:US
Practice Address - Phone:301-385-4972
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-25
Last Update Date:2021-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy