Organization Active NPI

Agostino Athletics, LLC

  • Physical Therapy Clinic/Center
  • Cape Coral, FL
National Provider Identifier
1427643675
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
AGOSTINO ATHLETICS, LLC
Practice address
1490 NE Pine Island Rd Ste 6B
Cape Coral, FL 33909-2173
Phone
(239) 848-8463
Fax
(855) 289-1477
NPI assigned
Mar 9, 2021
Last updated
Mar 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Authorized official

Name
Mr. Raymond Agostino, DPTNPI 1164898789
Title
Owner / Provider
Phone
(239) 848-8463

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1490 NE Pine Island Rd Ste 6B
Cape Coral, FL 33909-2173

Mailing address

1145 SW 37TH St
Cape Coral, FL 33914-5163
Phone (239) 848-8463

National Provider Directory

National Provider Directory

Locations

1490 NE Pine Island Rd
Ste 6B
Cape Coral, FL 33909
Phone (239) 848-8463

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615248000000",
    "number": "1427643675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 SW 37TH ST",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339145163",
            "telephone_number": "239-848-8463",
            "fax_number": "855-289-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 NE PINE ISLAND RD STE 6B",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339092173",
            "telephone_number": "239-848-8463",
            "fax_number": "855-289-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGOSTINO ATHLETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A",
        "authorized_official_last_name": "AGOSTINO",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "OWNER / PROVIDER",
        "authorized_official_telephone_number": "239-848-8463",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.