Organization Active NPI

Regional Rehab Associates PA

Doing business as Jaffe Sports Medicine and Rehabilitation

  • Physical Medicine & Rehabilitation Physician
  • Naples, FL
National Provider Identifier
1073714010
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
REGIONAL REHAB ASSOCIATES PA
Doing business as
Jaffe Sports Medicine and Rehabilitation
Practice address
1865 Veterans Park Dr
Suite# 101
Naples, FL 34109-0447
Phone
(239) 254-7778
Fax
(239) 254-7718
NPI assigned
May 29, 2007
Last updated
Nov 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Authorized official

Name
Peter John Jaffe, DONPI 1851443337
Title
Physician/Owner
Phone
(239) 254-7778

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X OS8375 FL
Physical Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

1865 Veterans Park Dr
Suite# 101
Naples, FL 34109-0447

Mailing address

PO Box 111090
Naples, FL 34108-0119
Phone (239) 254-7778

Other practice location 1

455 Del Prado Blvd S
Cape Coral, FL 33990-2629
Phone (239) 610-1565

Other practice location 2

7117 Congdon Road
Suite 200
Fort Myers, FL 33908-6215
Phone (239) 215-9574

Other practice location 3

150 Tamiami Trl N
Naples, FL 34102-6215
Phone (239) 610-2955

Other identifiers 1

IdentifierTypeStateIssuer
OS8375OtherFLLICENSE

Other names 1

  • Jaffe Sports Medicine and Rehabilitation Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20051004000223 FL Part B Supplier - Clinic/Group Practice 2668407131 Receives reassigned benefits from 33 practitioners
Practice locations: Fort Myers, FL; Cape Coral, FL; Naples, FL
O20100930096997 FL DME Supplier - Physician - Osteopathic Manipulative MedicineDME Supplier - Independently-Practicing Physical TherapistDME Supplier - Independently-Practicing Occupational Therapist 2668407131 Practice locations: Naples, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2063013Regional Rehab Associates PA1865 Veterans Park Dr Ste 101, Naples, FL 34109Certificate of waiverJul 24, 2027
10D2196929Regional Rehab Associates, P.a.7117 Congdon Road, Fort Myers, FL 33908Certificate of waiverOct 19, 2026

National Provider Directory

National Provider Directory

Locations

455 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 319-4545

150 Tamiami Trl N
Naples, FL 34102
Phone (239) 262-8306

1865 Veterans Park Dr
Ste 101
Naples, FL 34109
Phone (239) 254-7778

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 45

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 45

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667779200000",
    "number": "1073714010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 111090",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341080119",
            "telephone_number": "239-254-7778",
            "fax_number": "239-254-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 VETERANS PARK DR",
            "address_2": "SUITE# 101",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341090447",
            "telephone_number": "239-254-7778",
            "fax_number": "239-254-7718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "455 Del Prado Blvd S",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339902629",
            "country_code": "US",
            "telephone_number": "239-610-1565",
            "fax_number": "855-959-1692",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7117 Congdon Road",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339086215",
            "country_code": "US",
            "telephone_number": "239-215-9574",
            "fax_number": "855-959-1692",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Tamiami Trl N",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341026215",
            "country_code": "US",
            "telephone_number": "239-610-2955",
            "fax_number": "855-959-1692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REGIONAL REHAB ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A",
        "authorized_official_last_name": "JAFFE",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "239-254-7778",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "OS8375",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "OS8375",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jaffe Sports Medicine and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jaffe Sports Medicine and Rehabilitation",
            "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 Nov 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.