Organization Active NPI

Southwest Florida Mobile Therapy, Inc.

  • Physical Therapist
  • Fort Myers, FL
National Provider Identifier
1134730799
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SOUTHWEST FLORIDA MOBILE THERAPY, INC.
Practice address
6839 Porto Fino Cir
Fort Myers, FL 33912-4361
Phone
(941) 276-5710
NPI assigned
Aug 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Authorized official

Name
Dr. Donald Charles Schultz III, PTNPI 1538562368
Title
Owner
Phone
(941) 276-5710

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
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

6839 Porto Fino Cir
Fort Myers, FL 33912-4361

Mailing address

6 Cayman CT
Fort Myers, FL 33912-2003

Other practice location 1

9171 Independence Way
Fort Myers, FL 33913-6638
Phone (239) 288-6697

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200918000118 FL Part B Supplier - Clinic/Group Practice 4587082854 Receives reassigned benefits from 12 practitioners
Practice locations: Bonita Springs, FL; Lehigh Acres, FL; Fort Myers, FL; Cape Coral, FL

National Provider Directory

National Provider Directory

Locations

24110 S Tamiami Trl
Bonita Springs, FL 34134
Phone (239) 228-6697

303 NE 3rd Ave
Ste 12
Cape Coral, FL 33909
Phone (239) 288-6697

11611 Paseo Grande Blvd
Fort Myers, FL 33912
Phone (239) 288-6697

9171 Independence Way
Fort Myers, FL 33913
Phone (239) 288-6697

Practitioners & affiliated clinicians

Practitioners 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1597536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735776000000",
    "number": "1134730799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 CAYMAN CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339122003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6839 PORTO FINO CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124361",
            "telephone_number": "941-276-5710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9171 Independence Way",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339136638",
            "country_code": "US",
            "telephone_number": "239-288-6697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHWEST FLORIDA MOBILE THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-16",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-276-5710",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Jan 2, 2025; 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.