NPIMap

Organization Active NPI

Bayonne Physical Therapy Inc

Doing business as Golden Gate Physical Therapy

  • Physical Therapist
  • Naples, FL
National Provider Identifier
1063443158
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
971359 Issued in FL
Legal business name
BAYONNE PHYSICAL THERAPY INC
Doing business as
Golden Gate Physical Therapy
Practice address
5263 Golden Gate Pkwy
Suite E
Naples, FL 34116-7601
Phone
(239) 352-9884
Fax
(239) 352-8610
NPI assigned
Jul 6, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dianne Cortese, P.T.NPI 1851322440
Title
Owner
Phone
(239) 352-9884

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 971359 FL Primary

Addresses

Primary practice location

5263 Golden Gate Pkwy
Suite E
Naples, FL 34116-7601

Mailing address

5263 Golden Gate Pkwy
Suite E
Naples, FL 34116-7601
Phone (239) 352-9884

Other identifiers 4

IdentifierTypeStateIssuer
CG7750OtherFLMEDICARE RAILROAD
5757410004OtherFLMEDICARE DME
Y905NOtherFLBLUE CROSS & BLUE SHIELD
9691212OtherFLGHI HEALTH INSURANCE

Other names 1

  • Golden Gate Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040604000263 FL Part B Supplier - Clinic/Group Practice 1951383702 Receives reassigned benefits from 16 practitioners
Practice locations: Naples, FL; Bonita Springs, FL

National Provider Directory

National Provider Directory
Tax ID family
Bayonne Physical Therapy Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12870 Trade Way Four
Ste 110
Bonita Springs, FL 34135
Phone (239) 530-0201

9200 Bonita Beach Rd SE
Ste 103
Bonita Springs, FL 34135
Phone (239) 949-9599

15205 Collier Blvd
Ste 108
Naples, FL 34119
Phone (239) 643-0222

3906 Tamiami Trl E
Ste A
Naples, FL 34112
Phone (941) 530-0201

4745 Golden Gate Pkwy
Naples, FL 34116
Phone (239) 352-9884

5263 Golden Gate Pkwy
Ste E
Naples, FL 34116
Phone (239) 352-9884

Practitioners & affiliated clinicians

Practitioners 44

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.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063443158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5263 GOLDEN GATE PKWY",
            "address_2": "SUITE E",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341167601",
            "telephone_number": "239-352-9884",
            "fax_number": "239-352-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5263 GOLDEN GATE PKWY",
            "address_2": "SUITE E",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341167601",
            "telephone_number": "239-352-9884",
            "fax_number": "239-352-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYONNE PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CORTESE",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-352-9884",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "971359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CG7750",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME",
            "identifier": "5757410004",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "Y905N",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI HEALTH INSURANCE",
            "identifier": "9691212",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Gate Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.