Organization Active NPI

SW Florida Regional Medical Center Inc

  • Physical Therapy Clinic/Center
  • Naples, FL
National Provider Identifier
1174800924
Registry record updated Dec 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
HCC8941 Issued in FL
Legal business name
SW FLORIDA REGIONAL MEDICAL CENTER INC
Practice address
5580 19TH CT SW Ste 2
Naples, FL 34116-5577
Phone
(239) 304-2471
Fax
(239) 304-2741
NPI assigned
Nov 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2012

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

Authorized official

Name
Mr. Rafael Madan
Title
President
Phone
(239) 304-2471

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X HCC8941 FL Primary

Addresses

Primary practice location

5580 19TH CT SW Ste 2
Naples, FL 34116-5577

Mailing address

5580 19TH CT SW Ste 2
Naples, FL 34116-5577
Phone (239) 304-2471

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140618000870 FL Part B Supplier - Clinic/Group Practice 3375767171 Receives reassigned benefits from 7 practitioners
Practice locations: Naples, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2052198SW Florida Regional Medical Center5580 19TH CT SW Unit 2,3, Naples, FL 34116Certificate of waiverJan 6, 2027

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9289/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 7

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": "1320710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354752000000",
    "number": "1174800924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5580 19TH CT SW STE 2",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341165577",
            "telephone_number": "239-304-2471",
            "fax_number": "239-304-2741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5580 19TH CT SW STE 2",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341165577",
            "telephone_number": "239-304-2471",
            "fax_number": "239-304-2741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SW FLORIDA REGIONAL MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-08",
        "last_updated": "2012-12-06",
        "status": "A",
        "authorized_official_last_name": "MADAN",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-304-2471",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "HCC8941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.