Active NPI
Solaris Rehab, LLC
- Rehabilitation Clinic/Center
- Naples, FL
National Provider Identifier
1497232300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- SOLARIS REHAB, LLC
- Practice address
- 15450 Tamiami TRL N
Naples, FL 34110-6217 - Phone
- (239) 206-8912
- NPI assigned
- Jul 24, 2018
- Last updated
- Aug 25, 2022
- 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
- David R Boerkoel
- Title
- President
- Phone
- (239) 514-2310
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | NU | Primary |
Addresses
Primary practice location
15450 Tamiami TRL N
Naples, FL 34110-6217
Mailing address
PO Box 2386
Bonita Springs, FL 34133-2386
Other practice location 1
6945 Carlisle Ct
Naples, FL 34109-6883
Phone (239) 249-6877
Other practice location 2
14001 Metro Parkway
Fort Myers, FL 33912
Phone (844) 779-1146
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130910000009 | FL | Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 1355595893 |
11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Naples, FL; Fort Myers, FL; Bonita Springs, FL |
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532390400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661385600000",
"number": "1497232300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2386",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "341332386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15450 TAMIAMI TRL N",
"city": "NAPLES",
"state": "FL",
"postal_code": "341106217",
"telephone_number": "239-206-8912"
}
],
"practiceLocations": [
{
"address_1": "6945 Carlisle Ct",
"address_purpose": "LOCATION",
"city": "Naples",
"state": "FL",
"postal_code": "341096883",
"country_code": "US",
"telephone_number": "239-249-6877",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14001 Metro Parkway",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "33912",
"country_code": "US",
"telephone_number": "844-779-1146",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SOLARIS REHAB, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-24",
"last_updated": "2022-08-25",
"certification_date": "2022-08-25",
"status": "A",
"authorized_official_last_name": "BOERKOEL",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "239-514-2310"
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"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 Aug 25, 2022; 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.