Active NPI
Michael J Willett, PT
- Physical Therapist
- Naples, FL
National Provider Identifier
1225042435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT16338
- Practice address
- 9051 Tamiami TRL N
Suite 104
Naples, FL 34108-2596 - Phone
- (239) 591-4711
- Fax
- (239) 593-1195
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT16338 | FL | Primary |
Addresses
Primary practice location
9051 Tamiami TRL N
Suite 104
Naples, FL 34108-2596
Mailing address
3633 Country Club Blvd # 1
Cape Coral, FL 33904-4964
Phone (239) 541-3450
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
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
Practice addresses (Care Compare)
9051 Tamiami Trail N
Naples, FL 34108-2520
Phone (239) 591-4711
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pelican Sports & Rehabilitation of Naples | Physical Therapist | Current | Accepting new patients |
| Pelican Sports and Rehabilitation, Inc | Physical Therapist | Past | Accepting new patients |
Locations
9051 Tamiami Trl N
Ste 104
Naples, FL 34108
Phone (239) 591-4711
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Naples, FL
- NPI 1558511725
-
- Physical Therapist
- Naples, FL
- NPI 1437173101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1225042435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3633 COUNTRY CLUB BLVD # 1",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339044964",
"telephone_number": "239-541-3450",
"fax_number": "239-593-1195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9051 TAMIAMI TRL N",
"address_2": "SUITE 104",
"city": "NAPLES",
"state": "FL",
"postal_code": "341082596",
"telephone_number": "239-591-4711",
"fax_number": "239-593-1195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLETT",
"first_name": "MICHAEL",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT16338",
"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 Jul 9, 2007; 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.