Active NPI
At Home Rehab Services LLC
- Physical Therapist
- Naples, FL
National Provider Identifier
1265145304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- AT HOME REHAB SERVICES LLC
- Practice address
- 4490 Beechwood Lake Dr
Naples, FL 34112-5267 - Phone
- (315) 727-5158
- NPI assigned
- Jan 4, 2023
- Last updated
- Jan 4, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Lisa Marie Dolezel, PT
- Title
- Managing Member
- Phone
- (315) 727-5158
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | Primary |
Addresses
Primary practice location
4490 Beechwood Lake Dr
Naples, FL 34112-5267
Mailing address
4490 Beechwood Lake Dr
Naples, FL 34112-5267
Phone (315) 727-5158
National Provider Directory
National Provider DirectoryPractitioners & 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
- Naples, FL
- NPI 1174644108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672790400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672790400000",
"number": "1265145304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4490 BEECHWOOD LAKE DR",
"city": "NAPLES",
"state": "FL",
"postal_code": "341125267",
"telephone_number": "315-727-5158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4490 BEECHWOOD LAKE DR",
"city": "NAPLES",
"state": "FL",
"postal_code": "341125267",
"telephone_number": "315-727-5158"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AT HOME REHAB SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-04",
"last_updated": "2023-01-04",
"certification_date": "2023-01-04",
"status": "A",
"authorized_official_last_name": "DOLEZEL",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "315-727-5158",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"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 Jan 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.