Active NPI
Nnas Rehab Medical Center Corp
- Physical Therapy Clinic/Center
- Naples, FL
National Provider Identifier
1417797390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.