Organization Active NPI

Elite Physical Therapy of Southwest Florida Inc

  • Physical Therapy Clinic/Center
  • Naples, FL
National Provider Identifier
1063687416
Registry record updated Jun 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT21199 Issued in FL
Legal business name
ELITE PHYSICAL THERAPY OF SOUTHWEST FLORIDA INC
Practice address
2546 Northbrooke Plaza
Naples, FL 34119-8100
Phone
(239) 653-9586
Fax
(239) 653-9587
NPI assigned
Apr 28, 2008
Last updated
Jun 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2012

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

Authorized official

Name
Mr. Ryan Senkarik, MSPTNPI 1982879334
Title
President
Phone
(239) 398-7489

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 Therapy Clinic/Center 261QP2000X PT21199 FL Primary

Addresses

Primary practice location

2546 Northbrooke Plaza
Naples, FL 34119-8100

Mailing address

2546 Northbrooke Plaza Dr
Naples, FL 34119-7960
Phone (239) 653-9586

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090330000374 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7810054269 Receives reassigned benefits from 4 practitioners
Practice locations: Naples, FL

National Provider Directory

National Provider Directory

Locations

2590 Northbrooke Plaza Dr
Ste 107
Naples, FL 34119
Phone (239) 294-1607

2546 Northbrooke Plaza Dr
Naples, FL 34119
Phone (239) 653-9586

5308 Kensington High St
Naples, FL 34105
Phone (239) 653-9586

13300 Valewood Dr
Naples, FL 34119
Phone (239) 293-2566

2700 Pine Ridge Rd
Naples, FL 34109
Phone (239) 649-4440

15735 Corso Mediterra Cir
Naples, FL 34110
Phone (239) 949-8989

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339372800000",
    "number": "1063687416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2546 NORTHBROOKE PLAZA DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341197960",
            "telephone_number": "239-653-9586",
            "fax_number": "239-653-9587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2546 NORTHBROOKE PLAZA",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341198100",
            "telephone_number": "239-653-9586",
            "fax_number": "239-653-9587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PHYSICAL THERAPY OF SOUTHWEST FLORIDA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2012-06-11",
        "status": "A",
        "authorized_official_last_name": "SENKARIK",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-398-7489",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT21199",
            "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 Jun 11, 2012; 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.