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Country Club Pt PA

Geriatric Physical Therapist in Venice, FL · enumerated 2015 · authorized official Lisa Corn, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1578928420

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Registry record

Entity type Organization (Type 2)
Legal business name Country Club Pt PA
Practice address 1331 Whispering Ln, Venice, FL, 34285
Enumeration date Dec 19, 2015
Last updated in NPPES Dec 19, 2015

Taxonomy & classification

2251G0304X Geriatric Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License PT21464 (FL) Primary

Authorized official

Name Lisa Corn
Title Office Manager

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Country Club Pt PA?
The NPI for Country Club Pt PA is 1578928420, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Country Club Pt PA?
NPPES lists Lisa Corn (Office Manager) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-12-19.