NPIMap

Organization Active NPI

Physiotherapy Associates Inc

  • Physical Therapy Clinic/Center
  • Cape Coral, FL
National Provider Identifier
1457371981
Registry record updated Sep 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PHYSIOTHERAPY ASSOCIATES INC
Practice address
428 Del Prado Blvd N Ste 108
Cape Coral, FL 33909-2218
Phone
(239) 772-5868
NPI assigned
Jul 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2007

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

Authorized official

Name
Melissa Philbeck
Title
Sr. Group Business Manager
Phone
(813) 514-9641

Specialties & licenses 1

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

Addresses

Primary practice location

428 Del Prado Blvd N Ste 108
Cape Coral, FL 33909-2218

Mailing address

3000 E Fletcher Ave Ste 210
Tampa, FL 33613-4644
Phone (813) 514-9641

Other identifiers 1

IdentifierTypeStateIssuer
R93OtherFLBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040712000780 FL Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 3577470442 12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fort Myers, FL; Naples, FL; Estero, FL; Cape Coral, FL; Bonita Springs, FL

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

428 Del Prado Blvd N
Ste 108
Cape Coral, FL 33909
Phone (239) 573-7988

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190851200000",
    "number": "1457371981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 E FLETCHER AVE STE 210",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134644",
            "telephone_number": "813-514-9641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 DEL PRADO BLVD N STE 108",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339092218",
            "telephone_number": "239-772-5868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIOTHERAPY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-09-27",
        "status": "A",
        "authorized_official_last_name": "PHILBECK",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "SR. GROUP BUSINESS MANAGER",
        "authorized_official_telephone_number": "813-514-9641"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "R93",
            "state": "FL"
        }
    ],
    "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 Sep 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.