65 PLUS LLC — NPI 1205292489 (Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist, Geriatrics in VENICE, FL)

CMS-1500 Box 24J / 33a • NPI

1205292489

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

2251G0304X (CMS 65)

Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist, Geriatrics

Box 32 Service Location & ZIP+4

1978 TAMIAMI TRL S, SUITE 5 & 6, VENICE, FL, 34293-5006

✓ 9-Digit EDI 837 ZIP+4 (34293-5006)

Practice Phone & Referral Fax

(941) 451-6607

Fax: (941) 451-2028

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1205292489 (65 PLUS LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1205292489` (NPI-2 Organization / Facility)
Provider / Legal Name	65 PLUS LLC
Plain-English Specialty	Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist, Geriatrics NUCC Code: `2251G0304X` (Physical Therapist, Geriatrics)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1978 TAMIAMI TRL S, SUITE 5 & 6, VENICE, FL, 34293-5006
Practice Telephone / Fax	Tel: (941) 451-6607 \| Fax: (941) 451-2028
Administrative Mailing Address	350 W VENICE AVE # 1946, VENICE, FL, 34285-0001
Enumeration & Last Sync	Enumerated: 2016-01-04 \| CMS Record Updated: 2016-06-14
Authorized Official	MATTHEW CORN (President)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1978 TAMIAMI TRL S, SUITE 5 & 6, VENICE, FL, 34293-5006

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Plain-English Taxonomy & CMS Crosswalk (2251G0304X)

What Does Taxonomy Code 2251G0304X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2251G0304X translates to:
"Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist, Geriatrics"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 65 (Physical Therapist in Private Practice)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Physical Therapist, Geriatrics for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (65 PLUS LLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`2251G0304X` — Physical Therapist, Geriatrics Plain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist, Geriatrics	State: FL \| License: `21464` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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65 PLUS LLC (NPI #1205292489)