Active NPI
Wanda White Nee, PT
- Physical Therapist
- Cape Coral, FL
National Provider Identifier
1245316843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT28067
- Practice address
- 1722 SW 10TH Ave
Cape Coral, FL 33991-3316 - Phone
- (815) 341-5979
- NPI assigned
- Oct 27, 2006
- Last updated
- Sep 29, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT28067 | FL | Primary |
| Physical Therapist | 225100000X | 070011646 | IL |
Addresses
Primary practice location
1722 SW 10TH Ave
Cape Coral, FL 33991-3316
Mailing address
1722 SW 10TH Ave
Cape Coral, FL 33991-3316
Phone (815) 341-5979
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3232028 | Other | IL | BLUE CROSS BLUE SHIELD |
| P00390229 | Other | IL | RAILROAD MEDICARE PTAN |
| DF7483 | Other | IL | RAILROAD MEDICARE GROUP NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130606000836 | FL | Practitioner - Physical Therapist in Private Practice | 1658353289 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT28067 | FL | MD | Physical Therapist |
| 070011646 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tac II LLC | Current | Accepting new patients | |
| Physicians Primary Care of Southwest Florida PL | Past | Accepting new patients | |
| Ther-a-Care Rehabilitation LTD | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 3
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.
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- NPI 1356336705
-
- Physical Therapist
- Coal City, IL
- NPI 1609940162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1245316843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1722 SW 10TH AVE",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339913316",
"telephone_number": "815-341-5979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1722 SW 10TH AVE",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339913316",
"telephone_number": "815-341-5979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE NEE",
"first_name": "WANDA",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-27",
"last_updated": "2026-09-29",
"certification_date": "2024-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT28067",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070011646",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "3232028",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PTAN",
"identifier": "P00390229",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GROUP NUMBER",
"identifier": "DF7483",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.