Kirby Retzer

Primary specialty

Clinical Exercise PhysiologistTaxonomy code 224Y00000X

Practice address

14609 6 Mile Cypress Pkwy
Fort Myers, FL 33912-4465

Phone

(239) 202-2910

NPI assigned

Mar 8, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Performance Education LLC

  • Health Service Clinic/Center
  • Fort Myers, FL
  • NPI 1750967097
  NPD Authorized official

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1144815440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9848 COLONIAL WALK S",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339286309",
            "telephone_number": "561-699-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14609 6 MILE CYPRESS PKWY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124465",
            "telephone_number": "239-202-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RETZER",
        "first_name": "KIRBY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Exercise Physiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Respiratory Resource MGMT LLLP
• Nicholas Ressa, M.D.
• Gerardo David Resto Santos
• Noah Resuta, DPT
• Retina Health Center PL
• Cori J. Revak, PSY.D.
• Tifani Megan Revels Lee, LMT
• Revitalize Counseling
• Revitalize Health Center LLC
• Revive Family Counseling, L.L.C.

• Clinical Exercise Physiologist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Clinical Exercise Physiologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.