Organization Active NPI

Nnas Rehab Medical Center Corp

  • Physical Therapy Clinic/Center
  • Naples, FL
National Provider Identifier
1417797390
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
NNAS REHAB MEDICAL CENTER CORP
Practice address
5644 Tavilla Cir Ste 106
Naples, FL 34110-3404
Phone
(239) 631-1995
Fax
(239) 631-1973
NPI assigned
May 29, 2024
Last updated
May 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Authorized official

Name
Susel Castaneda
Title
Authorized Official
Phone
(239) 313-9988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

5644 Tavilla Cir Ste 106
Naples, FL 34110-3404

Mailing address

5644 Tavilla Cir Ste 106
Naples, FL 34110-3404
Phone (239) 631-1995

National Provider Directory

National Provider Directory

Locations

5644 Tavilla Cir
Ste 106
Naples, FL 34110
Phone (239) 631-1995

NPI Registry JSON

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1417797390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5644 TAVILLA CIR STE 106",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341103404",
            "telephone_number": "239-631-1995",
            "fax_number": "239-631-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5644 TAVILLA CIR STE 106",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341103404",
            "telephone_number": "239-631-1995",
            "fax_number": "239-631-1973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NNAS REHAB MEDICAL CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "CASTANEDA",
        "authorized_official_first_name": "SUSEL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "239-313-9988"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "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 May 29, 2024; 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.