Five Star Rehabilitation and Wellness Services, LLC.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

FIVE STAR REHABILITATION AND WELLNESS SERVICES, LLC.

Doing business as

Ageility Physical Therapy Solutions at The Palms

Practice address

2674 Winkler Ave
Fort Myers, FL 33901-9361

Phone

(239) 466-9222

Fax

(239) 454-9333

NPI assigned

Aug 15, 2006

Organization subpart

Yes

Parent organization

FIVE STAR REHABILITATION AND WELLNESS SERVICES, LLC.As reported in NPPES

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

Authorized official

Name

Jeffrey C Leer

Title

President & Chief Executive Officer

Phone

(617) 796-8387

Specialties & licenses 1

Addresses

Other names 1

• Ageility Physical Therapy Solutions at The Palms Doing business as

Part of

Five Star Rehab

Locations

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1174536502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 WASHINGTON ST STE 230",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581644",
            "telephone_number": "617-796-8387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2674 WINKLER AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019361",
            "telephone_number": "239-466-9222",
            "fax_number": "239-454-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE STAR REHABILITATION AND WELLNESS SERVICES, LLC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIVE STAR REHABILITATION AND WELLNESS SERVICES, LLC.",
        "enumeration_date": "2006-08-15",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A",
        "authorized_official_last_name": "LEER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "617-796-8387"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ageility Physical Therapy Solutions at The Palms",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ross Fitch, CRNA
• Anne Marie Fitzgibbons, CCC-SLP
• Betty Jean Fitzpatrick, RN, MSN, PNP-PC
• Charles Daren Fitzpatrick, D.C.
• Gerard Joseph Fitzpatrick, M.D.
• FL Coral Med Supply Inc
• Patrick Flaharty, MD
• Amy Flaherty
• Linda B Flaherty, PH.D
• Phuong My Flanagan, MD

• Physical Therapy Clinic/Center in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.