Active NPI
SW Florida Regional Medical Center Inc
- Physical Therapy Clinic/Center
- Naples, FL
National Provider Identifier
1174800924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- HCC8941
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2052198 | SW Florida Regional Medical Center | Certificate of waiver | Jan 6, 2027 |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- 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.
-
- Family Nurse Practitioner
- Fort Myers, FL
- NPI 1376287839
-
- General Practice Physician
- Sweetwater, FL
- NPI 1306912878
-
- Family Nurse Practitioner
- Fort Myers, FL
- NPI 1013564889
-
- General Practice Physician
- West Palm Beach, FL
- NPI 1821407826
-
- General Practice Physician
- Hollywood, FL
- NPI 1780666750
-
- Family Nurse Practitioner
- Naples, FL
- NPI 1174197966
-
- General Practice Physician
- Plantation, FL
- NPI 1689144933
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.