Bonita Springs Sports & Physical Therapy Center Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

BONITA SPRINGS SPORTS & PHYSICAL THERAPY CENTER INC

Practice address

26201 S Tamiami TRL
Bonita Springs, FL 34134

Phone

(239) 498-0558

Fax

(239) 498-0557

NPI assigned

Mar 7, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Sandra L Klassen, MS PT AT CNPI 1710955687

Title

Owner Pres Physical Therapist

Phone

(239) 498-0558

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 26

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

• Sandra Lee Klassen, MS PT AT C

  • Physical Therapist
  • Bonita Springs, FL
  • NPI 1710955687
  Medicare reassignment Care Compare group NPD Authorized official
• Ashley Cecil Spencer

  • Physical Therapist
  • Naples, FL
  • NPI 1639421795
  Medicare reassignment Care Compare group NPD
• Kimberly Ann Backe, P.T.

  • Physical Therapist
  • Oak Creek, WI
  • NPI 1073607834

  FL

  Medicare reassignment Care Compare group NPD
• Jason Burns, DPT

  • Orthopedic Physical Therapist
  • Punta Gorda, FL
  • NPI 1861868770
  Medicare reassignment NPD
• Michael A Comello, PT, DPT

  • Physical Therapist
  • Fort Myers, FL
  • NPI 1235910142
  Medicare reassignment NPD
• Chris Coyne, P.T.

  • Physical Therapist
  • Duxbury, MA
  • NPI 1528076338

  FL

  Medicare reassignment NPD
• Alannah Seidler, DPT

  • Physical Therapist
  • Elkton, VA
  • NPI 1487334900

  FL

  Medicare reassignment
• Susan Ellen Hosmer, PT

  • Physical Therapist
  • Naples, FL
  • NPI 1720358583
  NPD (past)
• Nicholas James Hughes, D.P.T

  • Physical Therapist
  • Bradenton, FL
  • NPI 1770736480
  NPD (past)
• Susan Mandy Lascano, MPT

  • Physical Therapist
  • Naples, FL
  • NPI 1548336829
  NPD (past)
• Laura Ann Lavelle, DPT

  • Physical Therapist
  • Naples, FL
  • NPI 1871560037
  NPD (past)
• Sandy Jean Leach, PT

  • Physical Therapist
  • Ft Myers, FL
  • NPI 1891763785
  NPD (past)

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267488000000",
    "number": "1104893361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26201 S TAMIAMI TRL",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "34134",
            "telephone_number": "239-498-0558",
            "fax_number": "239-498-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26201 S TAMIAMI TRL",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "34134",
            "telephone_number": "239-498-0558",
            "fax_number": "239-498-0557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONITA SPRINGS SPORTS & PHYSICAL THERAPY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-07",
        "last_updated": "2010-03-02",
        "status": "A",
        "authorized_official_last_name": "KLASSEN",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER PRES PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "239-498-0558",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS PT AT C"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y905Q",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bonita Palm Dental
• Bonita Spring Chiropractic Associates
• Bonita Springs Chiropractic Corp
• Bonita Springs Edc Management LLC
• Bonita Springs Retirement Village, Inc.
• Bonita Wellness Center
• Emerson Jeffrey Boogaard, DMD
• Becky Arlene Boros, DC
• O'Malley Marie Bosanic, OD
• Botina Springs Medical Group

• Physical Therapist in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2010; 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.