Individual provider Active NPI

Dean Eric Havner, P.T.

  • Orthopedic Physical Therapist
  • Naples, FL
National Provider Identifier
1184772857
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT36895 Issued in FL
Practice address
6376 Pine Ridge Rd Unit 430
Naples, FL 34119-3928
Phone
(239) 316-7600
Fax
(239) 316-7509
NPI assigned
Jan 8, 2007
Last updated
May 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT36895 FL Primary

Addresses

Primary practice location

6376 Pine Ridge Rd Unit 430
Naples, FL 34119-3928

Mailing address

6376 Pine Ridge Rd Unit 430
Naples, FL 34119-3928
Phone (239) 316-7600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230627000739 FL Practitioner - Physical Therapist in Private Practice 5294836169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Steven S. Goldberg, MD PLGroup PAC ID 3779627476, 4 clinicians

Practice addresses (Care Compare)

6376 Pine Ridge Rd
Suite 430
Naples, FL 34119-3905
Phone (239) 316-7600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT36895FLMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Steven S. Goldberg, MD PL CurrentSince Jul 1, 2023 Accepting new patients

Locations

6376 Pine Ridge Rd
Unit 430
Naples, FL 34119
Phone (239) 316-7600

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1184772857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6376 PINE RIDGE RD UNIT 430",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341193928",
            "telephone_number": "239-316-7600",
            "fax_number": "239-316-7509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6376 PINE RIDGE RD UNIT 430",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341193928",
            "telephone_number": "239-316-7600",
            "fax_number": "239-316-7509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVNER",
        "first_name": "DEAN",
        "middle_name": "ERIC",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT36895",
            "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 May 25, 2023; 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.