Active NPI
Paxxon Healthcare Services LLC
- Physical Therapist
- Naples, FL
National Provider Identifier
1194090068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- PAXXON HEALTHCARE SERVICES LLC
- Practice address
- 5175 Tamiami TRL E
Naples, FL 34113-4100 - Phone
- (239) 963-4032
- Fax
- (239) 280-4002
- NPI assigned
- Mar 12, 2012
- 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
- Roger Berkley, PT
- Title
- President
- Phone
- (914) 390-9880
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 235Z00000X |
Addresses
Primary practice location
5175 Tamiami TRL E
Naples, FL 34113-4100
Mailing address
10 New King St
Suite 105
White Plains, NY 10604-1205
Phone (914) 390-9880
National Provider Directory
National Provider DirectoryLocations
10 New King St
Ste 105
White Plains, NY 10604
Phone (914) 390-9880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1332201600000",
"number": "1194090068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 NEW KING ST",
"address_2": "SUITE 105",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106041205",
"telephone_number": "914-390-9880",
"fax_number": "914-390-9881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5175 TAMIAMI TRL E",
"city": "NAPLES",
"state": "FL",
"postal_code": "341134100",
"telephone_number": "239-963-4032",
"fax_number": "239-280-4002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAXXON HEALTHCARE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-12",
"last_updated": "2012-03-20",
"status": "A",
"authorized_official_last_name": "BERKLEY",
"authorized_official_first_name": "ROGER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "914-390-9880",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
}
],
"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 Mar 20, 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.