Individual provider Active NPI

Philip L Standhart, MSPT, CSCS

  • Orthopedic Physical Therapist
  • Naples, FL
National Provider Identifier
1003011107
Registry record updated Oct 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT25476 Issued in FL
Practice address
3841 E Tamiami TRL
Naples, FL 34112-6201
Phone
(239) 732-9094
Fax
(239) 732-9098
NPI assigned
Jun 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X 10901 NC
Orthopedic Physical Therapist 2251X0800X PT25476 FL Primary

Addresses

Primary practice location

3841 E Tamiami TRL
Naples, FL 34112-6201

Mailing address

3841 E Tamiami TRL
Naples, FL 34112-6201
Phone (239) 732-9094

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101101000749 FL Practitioner - Physical Therapist in Private Practice 3476747791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12450 Tamiami Trail E
Suite 101
Naples, FL 34113-8808
Phone (239) 610-1030

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT25476FLMDOrthopedic Physical Therapist
10901NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Function Physical Therapy Sports CurrentSince Aug 13, 2018 Accepting new patients

Locations

12450 Tamiami Trl E
Unit 101
Naples, FL 34113
Phone (239) 610-1030

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287014400000",
    "number": "1003011107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 E TAMIAMI TRL",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341126201",
            "telephone_number": "239-732-9094",
            "fax_number": "239-732-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3841 E TAMIAMI TRL",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341126201",
            "telephone_number": "239-732-9094",
            "fax_number": "239-732-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANDHART",
        "first_name": "PHILIP",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "MSPT, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2010-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NC",
            "license": "10901",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT25476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.