Active NPI
Philip L Standhart, MSPT, CSCS
- Orthopedic Physical Therapist
- Naples, FL
National Provider Identifier
1003011107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT25476
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT25476 | FL | MD | Orthopedic Physical Therapist |
| 10901 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Function Physical Therapy | Sports | Current | 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.