NPIMap

Organization Active NPI

Cape Coral Injury Clinic LLC

  • Physical Medicine & Rehabilitation Physician
  • Cape Coral, FL
National Provider Identifier
1093537854
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
CAPE CORAL INJURY CLINIC LLC
Practice address
1260 NE 8TH St Ste 110
Cape Coral, FL 33909-3169
Phone
(239) 573-7988
NPI assigned
Oct 31, 2024
Last updated
Oct 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Authorized official

Name
Andrew KammererNPI 1104402833
Title
Part Owner
Phone
(317) 224-7242

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Chiropractor 111N00000X NU
Physical Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

1260 NE 8TH St Ste 110
Cape Coral, FL 33909-3169

Mailing address

1260 NE 8TH St Ste 110
Cape Coral, FL 33909-3169
Phone (239) 573-7988

National Provider Directory

National Provider Directory

Locations

1260 NE 8th St
Ste 110
Cape Coral, FL 33909
Phone (239) 443-4716

Practitioners & affiliated clinicians

Practitioners 7

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": "1730332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1093537854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 NE 8TH ST STE 110",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339093169",
            "telephone_number": "239-573-7988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 NE 8TH ST STE 110",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339093169",
            "telephone_number": "239-573-7988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPE CORAL INJURY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-31",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "KAMMERER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PART OWNER",
        "authorized_official_telephone_number": "317-224-7242"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "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 Oct 31, 2024; 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.