Organization Active NPI

I. C. Physical Rehabilitation Services, Inc.

  • Physical Therapy Clinic/Center
  • Cape Coral, FL
National Provider Identifier
1093097180
Registry record updated Sep 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
MA46555 Issued in FL
Legal business name
I. C. PHYSICAL REHABILITATION SERVICES, INC.
Practice address
814 SW 11TH Ave
Cape Coral, FL 33991-4400
Phone
(239) 443-6264
Fax
(239) 573-5175
NPI assigned
Sep 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2011

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

Authorized official

Name
Ines Castro
Title
President
Phone
(239) 443-6264

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X MA46555 FL Primary

Addresses

Primary practice location

814 SW 11TH Ave
Cape Coral, FL 33991-4400

Mailing address

814 SW 11TH Ave
Cape Coral, FL 33991-4400
Phone (239) 443-6264

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315958400000",
    "number": "1093097180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 SW 11TH AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339914400",
            "telephone_number": "239-443-6264",
            "fax_number": "239-573-5175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 SW 11TH AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339914400",
            "telephone_number": "239-443-6264",
            "fax_number": "239-573-5175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I. C. PHYSICAL REHABILITATION SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-14",
        "last_updated": "2011-09-14",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "INES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-443-6264"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "MA46555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.