Individual provider · Type 1 NPI

Matthew Civitello, MPT

Pediatric Physical Therapist · Orlando, FL

NPI number 1154895233 Active

Practice location

13535 Nemours Pkwy
Orlando, FL 32827-7402

Call (407) 650-4000 Map

Mailing address

10140 Centurion Pkwy N
Jacksonville, FL 32256-0532

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200XPT27455 (FL)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1154895233

Matthew Civitello, MPT's National Provider Identifier is 1154895233, issued on Jan 11, 2019. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Orlando, FL. The record was last updated on Jan 11, 2019.