PTG Medical LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

PTG MEDICAL LLC

Practice address

1260 NE 8TH Street
Unit 109
Cape Coral, FL 33909

Phone

(239) 579-7988

Fax

(239) 579-7898

NPI assigned

Sep 6, 2022

Last updated

Oct 2, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patrick King, DCNPI 1306945894

Title

Owner

Phone

(239) 573-7988

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tucker Greene

  • Emergency Medicine Physician
  • Cape Coral, FL
  • NPI 1023073392

  Undersea and Hyperbaric Medicine

  Medicare reassignment NPD
• Gregory Robert Sonn, D.O.

  • Family Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1326144254
  Medicare reassignment NPD
• Patrick King, DC

  • Chiropractor
  • Cape Coral, FL
  • NPI 1306945894
  NPD Authorized official
• Brian R Webster, P.A.

  • Physician Assistant
  • Port Charlotte, FL
  • NPI 1164580536
  Medicare reassignment
• Jesus Manuel Rodriguez, MD

  • General Practice Physician
  • Cape Coral, FL
  • NPI 1841214996
  NPD
• Yankier Hernandez Gonzalez

  • Physician Assistant
  • Cape Coral, FL
  • NPI 1306525829
  NPD (past)

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1043931439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 NE 8TH ST STE 109",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339093169",
            "telephone_number": "239-573-7988",
            "fax_number": "239-573-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 NE 8TH STREET",
            "address_2": "UNIT 109",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "33909",
            "telephone_number": "239-579-7988",
            "fax_number": "239-579-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PTG MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-06",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-573-7988",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.