Provider Demographics
NPI:1417746629
Name:ALVIOR, KRISHERM D (DPT)
Entity type:Individual
Prefix:
First Name:KRISHERM
Middle Name:D
Last Name:ALVIOR
Suffix:
Gender:
Credentials:DPT
Other - Prefix:
Other - First Name:KRISHERM
Other - Middle Name:
Other - Last Name:DIMITIMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:2938 TRINITY COTTAGE DR
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34638-8134
Mailing Address - Country:US
Mailing Address - Phone:813-465-4998
Mailing Address - Fax:
Practice Address - Street 1:4501 BRUCE B DOWNS BLVD
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-9216
Practice Address - Country:US
Practice Address - Phone:813-914-1000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy