Rehab Source P a

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT0007692 Issued in FL

Legal business name

REHAB SOURCE P A

Practice address

6825 Davis Blvd
#157
Naples, FL 34104-5331

Phone

(239) 643-7879

Fax

(239) 643-2951

NPI assigned

Jul 22, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Edsel Pagkanlungan

Title

President

Phone

(239) 643-7879

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Collier Physical Therapy Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Annemarie Connor, MS, OTR/L

  • Occupational Therapist
  • Naples, FL
  • NPI 1063794998
  NPD (past)
• Curie C Cudmore, OTR/L

  • Occupational Therapist
  • Naples, FL
  • NPI 1356597926
  NPD (past)

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656979200000",
    "number": "1477574655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6825 DAVIS BLVD APT 257",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341045326",
            "telephone_number": "239-643-7879",
            "fax_number": "239-643-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6825 DAVIS BLVD",
            "address_2": "#157",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341045331",
            "telephone_number": "239-643-7879",
            "fax_number": "239-643-2951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB SOURCE P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A",
        "authorized_official_last_name": "PAGKANLUNGAN",
        "authorized_official_first_name": "EDSEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-643-7879",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT0007692",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT0008895",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHIELD #",
            "identifier": "Y018N",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHIELD#",
            "identifier": "Y036Q",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Collier Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Collier Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Regional Rehab Associates PA
• Regional Rehab Associates, P.a.
• Bradley Armand Regnaert, PHARM.D.
• Rose-Lissa Meline Regnier, MSW
• Julie Marie Rego, LMHC
• Rehabgurus
• Rehabworks LLC
• Patrick M Reidy, M.D.
• Fiorenza Reilly, P.T.
• Laura Jean Reilly, APRN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; 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.