Active NPI
Sports Specialty & Rehabilitation Center Inc
- Physical Therapist
- Naples, FL
National Provider Identifier
1215253042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- HCC1131
- 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 CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. William Daniel Vogelbach, PT, ATC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | HCC1131 | FL | Primary |
| Occupational Therapist | 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.
-
- Physical Therapist
- Cape Coral, FL
- NPI 1811996812
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.