Mary Grace Y Solis-Altavas, P.T.

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT23901 Issued in FL

Practice address

5860 Golden Gate Pkwy
Naples, FL 34116-7459

Phone

(239) 455-9525

NPI assigned

Mar 28, 2008

Last updated

Mar 28, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Bayonne Physical Therapy Inc

  dba Bonita Physical Therapy

  • Physical Therapist
  • Bonita Springs, FL
  • NPI 1396779179
  NPD (past)
• Bayonne Physical Therapy Inc

  dba North Trail Physical Therapy

  • Physical Therapist
  • Naples, FL
  • NPI 1497786420
  NPD (past)
• Bayonne Physical Therapy Inc

  dba Estates Physical Therapy

  • Physical Therapist
  • Naples, FL
  • NPI 1710919584
  NPD (past)

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206662400000",
    "number": "1255503330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3713 OAK HOLLOW DR",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971327478",
            "telephone_number": "503-554-9318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5860 GOLDEN GATE PKWY",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341167459",
            "telephone_number": "239-455-9525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLIS-ALTAVAS",
        "first_name": "MARY GRACE",
        "middle_name": "Y",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-28",
        "last_updated": "2008-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "FL",
            "license": "PT23901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Solaris Rehab, LLC
• Solaris Rehab, LLC (Solaris Health & Wellness)
• Sole Podiatry Center PA
• Solex LLC (CORA Physical Therapy - Golden Gate)
• Solex LLC (CORA Physical Therapy - Naples)
• Tracy Lynn Sollitto, NP-C
• Solnes a Tobal MD PA
• Brian Solomon, MD
• Soltice Medical Group Inc.
• Solutions Home Health Care LLC

• Pediatric Physical Therapist in Naples, FL
• Providers in Naples, FL by specialty
• Pediatric Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; 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.