NPIMap

Organization Active NPI

Ambassador Rehabilitative Services

  • Physical Therapy Assistant
  • North Fort Myers, FL
National Provider Identifier
1174862247
Registry record updated Feb 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA20339 Issued in FL
Legal business name
AMBASSADOR REHABILITATIVE SERVICES
Practice address
991 Pondella Rd
North Fort Myers, FL 33903-3500
Phone
(239) 995-8809
NPI assigned
Feb 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2013

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

Authorized official

Name
Ms. Kimberly Claire Caggiano, PTA
Title
Physical Therapist Assisant
Phone
(239) 560-0179

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 225200000X PTA20339 FL Primary

Addresses

Primary practice location

991 Pondella Rd
North Fort Myers, FL 33903-3500

Mailing address

991 Pondella Rd
North Fort Myers, FL 33903-3500
Phone (239) 995-8809

National Provider Directory

National Provider Directory
Tax ID family
Ambassador Rehabilitative Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1360281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360281600000",
    "number": "1174862247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "991 PONDELLA RD",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339033500",
            "telephone_number": "239-995-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 PONDELLA RD",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339033500",
            "telephone_number": "239-995-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBASSADOR REHABILITATIVE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-08",
        "last_updated": "2013-02-08",
        "status": "A",
        "authorized_official_last_name": "CAGGIANO",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "CLAIRE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST ASSISANT",
        "authorized_official_telephone_number": "239-560-0179",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA20339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2013; 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.