Botina Springs Medical Group

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

HCC8931 Issued in FL

Legal business name

BOTINA SPRINGS MEDICAL GROUP

Practice address

9240 Bonita Beach Rd SE Ste 2200
Bonita Springs, FL 34135-4251

Phone

(239) 221-7497

Fax

(239) 405-8132

NPI assigned

Nov 19, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Sonia Navarro

Title

President

Phone

(239) 221-7497

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1290124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290124800000",
    "number": "1285936575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9240 BONITA BEACH RD SE STE 2200",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354251",
            "telephone_number": "239-221-7497",
            "fax_number": "239-405-8132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9240 BONITA BEACH RD SE STE 2200",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354251",
            "telephone_number": "239-221-7497",
            "fax_number": "239-405-8132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOTINA SPRINGS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-19",
        "last_updated": "2010-11-19",
        "status": "A",
        "authorized_official_last_name": "NAVARRO",
        "authorized_official_first_name": "SONIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-221-7497",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "HCC8931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonita Springs Sports & Physical Therapy Center Inc
• Bonita Wellness Center
• Emerson Jeffrey Boogaard, DMD
• Becky Arlene Boros, DC
• O'Malley Marie Bosanic, OD
• Brain and Spine Consultants, Inc.
• Brain Function Clinic
• Connie Brazelton
• William Breakstone
• Brian G. Fabian MD PA

• Physical Therapy Clinic/Center in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.

Verify at the official NPI Registry.