NPIMap

Organization Active NPI

Islandfit Physical Therapy and Wellness LLC

  • Physical Therapy Clinic/Center
  • Fort Myers Beach, FL
National Provider Identifier
1063811974
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT 29142 Issued in FL
Legal business name
ISLANDFIT PHYSICAL THERAPY AND WELLNESS LLC
Practice address
11400 Summerlin Square Dr
Fort Myers Beach, FL 33931-5300
Phone
(239) 314-5118
NPI assigned
Aug 15, 2014
Last updated
Mar 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Authorized official

Name
Dana Walker, PT
Title
Owner/Physical Therapist
Phone
(239) 314-5118

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 20391 MD
Physical Therapy Clinic/Center 261QP2000X PT 29142 FL Primary

Addresses

Primary practice location

11400 Summerlin Square Dr
Fort Myers Beach, FL 33931-5300

Mailing address

39 Fairview Blvd
Fort Myers Beach, FL 33931-4566

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141216001566 FL Part B Supplier - Clinic/Group Practice 9436472875 Receives reassigned benefits from 9 practitioners
Practice locations: Fort Myers Beach, FL

National Provider Directory

National Provider Directory

Locations

11400 Summerlin Square Dr
Fort Myers Beach, FL 33931
Phone (239) 314-5118

7205 Estero Blvd
Ft Myers Bch, FL 33931
Phone (239) 314-5118

7205 Estero Blvd
#5
Ft Myers Bch, FL 33931
Phone (240) 888-1956

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": "1408060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1063811974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 FAIRVIEW BLVD",
            "city": "FORT MYERS BEACH",
            "state": "FL",
            "postal_code": "339314566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11400 SUMMERLIN SQUARE DR",
            "city": "FORT MYERS BEACH",
            "state": "FL",
            "postal_code": "339315300",
            "telephone_number": "239-314-5118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLANDFIT PHYSICAL THERAPY AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-15",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "239-314-5118",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MD",
            "license": "20391",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT 29142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.