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

Last updated

Mar 2, 2010By the provider in NPPES

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

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, and the practitioner matching its NPPES authorized official.

• 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
  • Fort 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": [],
    "endpoints": [],
    "other_names": []
}

• Bonita Palm Dental (Delmava)
• Bonita Spring Chiropractic Associates
• Bonita Springs Chiropractic Corp
• Bonita Springs Edc Management LLC (Emergency Dental Care USA)
• Bonita Springs Retirement Village, Inc. (The Terraces at Bonita Springs)
• 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.