Individual provider Active NPI

Robert Vincent Volski, P.T.,M.T.C.

  • Physical Therapist
  • Fort Myers, FL
National Provider Identifier
1124076898
Registry record updated Aug 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT1852 Issued in FL
Practice address
12734 Kenwood LN
Suite 56
Fort Myers, FL 33907-5638
Phone
(239) 936-4404
Fax
(239) 936-5156
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT1852 FL Primary

Addresses

Primary practice location

12734 Kenwood LN
Suite 56
Fort Myers, FL 33907-5638

Mailing address

12734 Kenwood LN
Suite 56
Fort Myers, FL 33907-5638
Phone (239) 936-4404

Other identifiers 1

IdentifierTypeStateIssuer
Y90HDOtherFLBC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407369600000",
    "number": "1124076898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12734 KENWOOD LN",
            "address_2": "SUITE 56",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339075638",
            "telephone_number": "239-936-4404",
            "fax_number": "239-936-5156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12734 KENWOOD LN",
            "address_2": "SUITE 56",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339075638",
            "telephone_number": "239-936-4404",
            "fax_number": "239-936-5156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLSKI",
        "first_name": "ROBERT",
        "middle_name": "VINCENT",
        "name_prefix": "Mr.",
        "credential": "P.T.,M.T.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2014-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT1852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "Y90HD",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.