Organization Active NPI

Xtreme Care Rehabilitation Center Inc

  • Chiropractor
  • Cape Coral, FL
National Provider Identifier
1013239722
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH5345 Issued in FL
Legal business name
XTREME CARE REHABILITATION CENTER INC
Practice address
2002 Del Prado Blvd S Ste 100
Cape Coral, FL 33990-4557
Phone
(239) 424-8442
Fax
(239) 424-8443
NPI assigned
Feb 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2010

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

Authorized official

Name
Dr. Stephen Mark Lovell, CH5345
Title
Owner
Phone
(239) 424-8442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH5345 FL Primary

Addresses

Primary practice location

2002 Del Prado Blvd S Ste 100
Cape Coral, FL 33990-4557

Mailing address

2002 Del Prado Blvd S Ste 100
Cape Coral, FL 33990-4557
Phone (239) 424-8442

Other names 1

  • xtreme care rehabilitation center inc Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266796800000",
    "number": "1013239722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 DEL PRADO BLVD S STE 100",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339904557",
            "telephone_number": "239-424-8442",
            "fax_number": "239-424-8443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 DEL PRADO BLVD S STE 100",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339904557",
            "telephone_number": "239-424-8442",
            "fax_number": "239-424-8443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XTREME CARE REHABILITATION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-22",
        "last_updated": "2010-02-22",
        "status": "A",
        "authorized_official_last_name": "LOVELL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-424-8442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CH5345"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH5345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "xtreme care rehabilitation center inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.