NPIMap

Organization Active NPI

Allied Physical Therapy, P.a.

  • Physical Therapist
  • Cape Coral, FL
National Provider Identifier
1104940899
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ALLIED PHYSICAL THERAPY, P.A.
Practice address
Allied Physical Therapy, P.a.
1469 SW 4TH Terrace
Cape Coral, FL 33991-1424
Phone
(239) 242-0070
Fax
(239) 242-0076
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Authorized official

Name
Mr. Matthew K Harkness, DPTNPI 1720009699
Title
President
Phone
(239) 242-0070

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary
Physical Therapy Clinic/Center 261QP2000X 0700056666 FL

Addresses

Primary practice location

Allied Physical Therapy, P.a.
1469 SW 4TH Terrace
Cape Coral, FL 33991-1424

Mailing address

Allied Physical Therapy, P.a.
1469 SW 4TH Terrace
Cape Coral, FL 33991-1424
Phone (239) 242-0070

Other identifiers 1

IdentifierTypeStateIssuer
Y917VOtherFLBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040917000979 FL Part B Supplier - Clinic/Group Practice 6709854730 Receives reassigned benefits from 8 practitioners
Practice locations: Cape Coral, FL

National Provider Directory

National Provider Directory

Locations

1469 SW 4th Ter
Cape Coral, FL 33991
Phone (234) 242-0070

1413 Viscaya Pkwy
Cape Coral, FL 33990
Phone (239) 242-0070

1510 Hancock Bridge Pkwy
Ste E
Cape Coral, FL 33990
Phone (239) 898-4278

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1104940899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ALLIED PHYSICAL THERAPY, P.A.",
            "address_2": "1469 SW 4TH TERRACE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339911424",
            "telephone_number": "239-242-0070",
            "fax_number": "239-242-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ALLIED PHYSICAL THERAPY, P.A.",
            "address_2": "1469 SW 4TH TERRACE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339911424",
            "telephone_number": "239-242-0070",
            "fax_number": "239-242-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED PHYSICAL THERAPY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "HARKNESS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-242-0070",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "0700056666",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y917V",
            "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 Nov 8, 2023; 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.