Ippolito Rehabilitation, LLC
Organization Active NPI Physical Therapist · Naples, FL
NPI 1386140754 · NPPES record last updated Jun 29, 2021
Key facts
- NPI
- 1386140754
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- IPPOLITO REHABILITATION, LLC
- Practice address
- 3569 Pilot Cir
Naples, FL 34120-0714 - Phone
- (239) 390-3978
- NPI assigned
- Apr 3, 2018
- Organization subpart
- No
Authorized official
- Name
- Dr. Christopher Phillip Ippolito, PT, DPT
- Title
- Owner/Physical Therapist
- Phone
- (239) 293-5042
Practitioners 21
-
Kaitlyn L Black, M.A. CCC-SLP
-
Molly Bowden, DPT
-
Gage Caryl, PT
-
Grace Hamrick, M.S OTR/L
-
Allison Henderson, MPT
-
Allison L Ippolito, DPT, MTC
-
Christopher Ippolito, DPT
-
Judy Ann Jenner, M.S.
-
Tamra Jo Meier, PT, CSCS
-
Kenneth William Hinz, P.T.
-
Vicki Thomas, RPT
-
Mary Burmeister, DPT
-
Maria Isabella Gomez, DPT, CSCS
-
Joseph Esio Lucchesi, PT, DPT
-
Lorraine Fierro, MSPT
-
Beth A. Smith, P.T.
-
Keith C Bennett, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180627003674 | FL | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 5092061457 |
Receives reassigned benefits from 20 practitioners Practice locations: Naples, FL |
National Provider Directory
Locations
12840 Tamiami Trl N
Ste 200
Naples, FL 34110
Phone (239) 390-3978
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | FL | Yes |
Addresses
Primary practice location
3569 Pilot Cir
Naples, FL 34120-0714
Mailing address
3569 Pilot Cir
Naples, FL 34120-0714
Phone (239) 390-3978
Other names
- Complete Home Therapy
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.