NPIMap

Organization Active NPI

Sypert Institute PA

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Cape Coral, FL
National Provider Identifier
1104889534
Registry record updated Aug 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
SYPERT INSTITUTE PA
Practice address
632 Del Prado Blvd N
Suite 101
Cape Coral, FL 33909-2278
Phone
(239) 772-5577
Fax
(239) 772-8879
NPI assigned
Apr 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2014

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

Authorized official

Name
Mr. Robert O Grady
Title
Vice President
Phone
(239) 432-0774

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X Primary

Addresses

Primary practice location

632 Del Prado Blvd N
Suite 101
Cape Coral, FL 33909-2278

Mailing address

632 Del Prado Blvd N
Suite 101
Cape Coral, FL 33909-2253
Phone (239) 772-5577

Other identifiers 1

IdentifierTypeStateIssuer
3792099-00MedicaidFL

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

632 Del Prado Blvd N
Ste 100
Cape Coral, FL 33909
Phone (239) 772-5577

12700 Creekside Ln
Ste 101
Fort Myers, FL 33919
Phone (239) 432-0774

12700 Creekside Ln
Ste 301
Fort Myers, FL 33919
Phone (239) 343-3780

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407196800000",
    "number": "1104889534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 DEL PRADO BLVD N",
            "address_2": "SUITE 101",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339092253",
            "telephone_number": "239-772-5577",
            "fax_number": "239-772-9961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 DEL PRADO BLVD N",
            "address_2": "SUITE 101",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339092278",
            "telephone_number": "239-772-5577",
            "fax_number": "239-772-8879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYPERT INSTITUTE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-07",
        "last_updated": "2014-08-05",
        "status": "A",
        "authorized_official_last_name": "O GRADY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "239-432-0774",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3792099-00",
            "state": "FL"
        }
    ],
    "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 Aug 5, 2014; 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.