NPIMap

Organization Active NPI

GTP Management Inc

  • Neurology Chiropractor
  • Ft Myers, FL
National Provider Identifier
1184677288
Registry record updated Jun 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
CH8431 Issued in FL
Legal business name
GTP MANAGEMENT INC
Practice address
8801 College Pkwy
Suite 2
Ft Myers, FL 33919-4882
Phone
(239) 482-0300
Fax
(239) 482-4757
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2012

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

Authorized official

Name
Dr. George S Petryk, DC,DACNB,FACFN,FABES
Title
President
Phone
(239) 482-0300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NN0400X CH8431 FL Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X OS7123 FL

Addresses

Primary practice location

8801 College Pkwy
Suite 2
Ft Myers, FL 33919-4882

Mailing address

15880 Summerlin Rd Ste 300
PMB 106
Fort Myers, FL 33908-9613
Phone (239) 482-0300

Other identifiers 1

IdentifierTypeStateIssuer
94780OtherFLBC/BS GROUP PROVIDER #

Other names 1

  • ADIO Wellness Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339632000000",
    "number": "1184677288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15880 SUMMERLIN RD STE 300",
            "address_2": "PMB 106",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339089613",
            "telephone_number": "239-482-0300",
            "fax_number": "239-482-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8801 COLLEGE PKWY",
            "address_2": "SUITE 2",
            "city": "FT MYERS",
            "state": "FL",
            "postal_code": "339194882",
            "telephone_number": "239-482-0300",
            "fax_number": "239-482-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GTP MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2012-06-14",
        "status": "A",
        "authorized_official_last_name": "PETRYK",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-482-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC,DACNB,FACFN,FABES"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Neurology",
            "state": "FL",
            "license": "CH8431",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "OS7123",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS GROUP PROVIDER #",
            "identifier": "94780",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADIO Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ft Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; 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.