Naples Premier Physical Therapy Inc

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

Legal business name

NAPLES PREMIER PHYSICAL THERAPY INC

Practice address

3940 Prospect Ave Ste 103
Naples, FL 34104-3745

Phone

(239) 575-7833

Fax

(813) 512-8237

NPI assigned

Aug 31, 2017

Last updated

Aug 31, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shane M Smith, PTNPI 1982028072

Title

Owner

Phone

(239) 575-7833

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

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.

• Shane Smith

  • Physical Therapist
  • Naples, FL
  • NPI 1982028072
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504137600000",
    "number": "1467970277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 ANDERSON DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341032811",
            "telephone_number": "239-575-7833",
            "fax_number": "813-512-8237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3940 PROSPECT AVE STE 103",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341043745",
            "telephone_number": "239-575-7833",
            "fax_number": "813-512-8237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAPLES PREMIER PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-31",
        "last_updated": "2017-08-31",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-575-7833",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naples Physical Therapy and Performance
• Naples Physical Therapy, Inc.
• Naples Physicians Hospital Organization Inc. (Community Health Partners)
• Naples Podiatry
• Naples Podiatry LLC
• Naples PRMC Emergency Physicians LLC
• Naples PRMC Emergency Physicians, LLC
• Naples Professional Consultants LLC
• Naples Psychiatric & Counseling
• Naples Psychological LLC

• Sports Physical Therapist in Naples, FL
• Providers in Naples, FL by specialty
• Sports Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2017; 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.