Individual provider Active NPI

Jeet Bhagu

  • Physical Therapist
  • Fort Myers, FL
National Provider Identifier
1386523454
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT43159 Issued in FL
Practice address
10591 Veneto Dr
Fort Myers, FL 33913-7021
Phone
(239) 244-3835
NPI assigned
Sep 2, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT43159 FL Primary

Addresses

Primary practice location

10591 Veneto Dr
Fort Myers, FL 33913-7021

Mailing address

11955 Raggio Dr
Fort Myers, FL 33913-0008
Phone (239) 850-5805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251124004471 FL Practitioner - Physical Therapist in Private Practice 5395237614 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4956 Filbert St
Shady Side, MD 20764-9653

5221 Pocatella CT
Cape Coral, FL 33904-5835

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT43159FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Edge Physical Therapy Physical Therapist CurrentSince Aug 27, 2025 Accepting new patients
Edge Diagnostics PastSince Feb 2, 2025 Accepting new patients

Locations

10591 Veneto Dr
Fort Myers, FL 33913
Phone (239) 244-3835

3300 Herons Glen Blvd
North Ft Myers, FL 33917
Phone (239) 244-3835

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1756771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1386523454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11955 RAGGIO DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339130008",
            "telephone_number": "239-850-5805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10591 VENETO DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339137021",
            "telephone_number": "239-244-3835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHAGU",
        "first_name": "JEET",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-02",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT43159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.