NPIMap

Organization Active NPI

Fawcett Memorial Hospital, Inc.

Doing business as Sports Rehab Center at HCA Florida Fawcett Hospital

  • Rehabilitation Clinic/Center
  • Port Charlotte, FL
National Provider Identifier
1184557423
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
FAWCETT MEMORIAL HOSPITAL, INC.
Doing business as
Sports Rehab Center at HCA Florida Fawcett Hospital
Practice address
3280 Tamiami TRL Ste 11
Port Charlotte, FL 33952-8000
Phone
(941) 764-1333
NPI assigned
Jun 5, 2026
Last updated
Jun 5, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
FAWCETT MEMORIAL HOSPITAL, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Authorized official

Name
Philip Marchesini
Title
Ceo
Phone
(941) 629-1181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X NU Primary

Addresses

Primary practice location

3280 Tamiami TRL Ste 11
Port Charlotte, FL 33952-8000

Mailing address

3280 Tamiami TRL Ste 11
Port Charlotte, FL 33952-8000
Phone (941) 764-1333

Other names 1

  • Sports Rehab Center at HCA Florida Fawcett Hospital Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

National Provider Directory

National Provider Directory
Tax ID family
Fawcett Memorial Hospit6 organizations share this tax ID, including this one
Part of
Fawcett Memorial Hospit

Other organizations with this tax ID 5

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1780617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780617600000",
    "number": "1184557423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 TAMIAMI TRL STE 11",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528000",
            "telephone_number": "941-764-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 TAMIAMI TRL STE 11",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528000",
            "telephone_number": "941-764-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAWCETT MEMORIAL HOSPITAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAWCETT MEMORIAL HOSPITAL, INC.",
        "enumeration_date": "2026-06-05",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A",
        "authorized_official_last_name": "MARCHESINI",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "941-629-1181"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Sports Rehab Center at HCA Florida Fawcett Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; 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.