West Coast Rehab

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT5602 Issued in FL

Legal business name

WEST COAST REHAB

Practice address

4048 Evans Ave
Ste 203
Ft Myers, FL 33901-9322

Phone

(239) 275-6250

Fax

(239) 275-6350

NPI assigned

Jan 17, 2006

Organization subpart

No

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

Authorized official

Name

Luis Duluc

Title

Administrator

Phone

(239) 275-6250

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295715381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4048 EVANS AVE",
            "address_2": "STE 203",
            "city": "FT MYERS",
            "state": "FL",
            "postal_code": "339019322",
            "telephone_number": "239-275-6250",
            "fax_number": "239-275-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4048 EVANS AVE",
            "address_2": "STE 203",
            "city": "FT MYERS",
            "state": "FL",
            "postal_code": "339019322",
            "telephone_number": "239-275-6250",
            "fax_number": "239-275-6350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COAST REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DULUC",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "239-275-6250"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT5602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Wertz
• Michael D Wesley, CRNA
• Nicola Wesley, PT
• West Coast Dental Partners
• West Coast Eye Care Inc
• West FL Medical Supply Inc
• West Florida Anesthesia Associates LLC
• West Virginia Emergency Physicians, LLP
• West Wind Chiropractic LLC
• Lucia Marie West, FNP

• Occupational Therapist in Ft Myers, FL
• Providers in Ft Myers, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.