Organization Active NPI

Sports Specialty & Rehabilitation Center Inc

  • Physical Therapist
  • Naples, FL
National Provider Identifier
1215253042
Registry record updated Jul 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
HCC1131 Issued in FL
Legal business name
SPORTS SPECIALTY & REHABILITATION CENTER INC
Practice address
1048 Goodlette Rd N
Suite 101
Naples, FL 34102-5491
Phone
(239) 348-8606
Fax
(239) 348-8608
NPI assigned
Apr 19, 2010
Organization subpart
Yes
Parent organization
SPORTS SPECIALTY & REHABILITATION CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 9, 2010

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

Authorized official

Name
Mr. William Daniel Vogelbach, PT, ATCNPI 1811996812
Title
President / Ceo
Phone
(239) 573-1518

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X HCC1131 FL Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X HCC1131 FL

Addresses

Primary practice location

1048 Goodlette Rd N
Suite 101
Naples, FL 34102-5491

Mailing address

2328 Hancock Bridge Pkwy
Suite 103
Cape Coral, FL 33990-1459
Phone (239) 573-1518

National Provider Directory

National Provider Directory
Part of
Sports Speciatly and Re

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278633600000",
    "number": "1215253042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2328 HANCOCK BRIDGE PKWY",
            "address_2": "SUITE 103",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339901459",
            "telephone_number": "239-573-1518",
            "fax_number": "239-573-7356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1048 GOODLETTE RD N",
            "address_2": "SUITE 101",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025491",
            "telephone_number": "239-348-8606",
            "fax_number": "239-348-8608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS SPECIALTY & REHABILITATION CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPORTS SPECIALTY & REHABILITATION CENTER",
        "enumeration_date": "2010-04-19",
        "last_updated": "2010-07-09",
        "status": "A",
        "authorized_official_last_name": "VOGELBACH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "239-573-1518",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, ATC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "HCC1131",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "HCC1131",
            "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 Jul 9, 2010; 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.