NPIMap

Organization Active NPI

Physicians for Quality Healthcare, Inc.

Doing business as Physicians Rehabilitation

  • Physical Medicine & Rehabilitation Physician
  • Fort Myers, FL
National Provider Identifier
1528353554
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
PHYSICIANS FOR QUALITY HEALTHCARE, INC.
Doing business as
Physicians Rehabilitation
Practice address
6150 Diamond Centre CT
Building 100
Fort Myers, FL 33912-4368
Phone
(239) 768-6396
Fax
(239) 204-3000
NPI assigned
Jun 17, 2011
Last updated
Jan 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Authorized official

Name
George Ghanem
Title
Ceo
Phone
(239) 768-6396

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 10413 FL
Physical Therapy Clinic/Center 261QP2000X NU
Durable Medical Equipment & Medical Supplies 332B00000X NU
Physical Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

6150 Diamond Centre CT
Building 100
Fort Myers, FL 33912-4368

Mailing address

6150 Diamond Centre CT
BLDG 100
Fort Myers, FL 33912
Phone (239) 768-6396

Other names 1

  • Physicians Rehabilitation Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20111207000431 FL DME Supplier - Physician - General Practice 1052583002 Practice locations: Fort Myers, FL
O20160822001058 FL Part B Supplier - Clinic/Group Practice 1052583002 Receives reassigned benefits from 19 practitioners
Practice locations: Cape Coral, FL; Fort Myers, FL; Naples, FL

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

10935 SE 177th Pl
Ste 405
Summerfield, FL 34491
Phone (352) 775-3339

Practitioners & affiliated clinicians

Practitioners 32

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.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1528353554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6150 DIAMOND CENTRE CT",
            "address_2": "BLDG 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33912",
            "telephone_number": "239-768-6396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6150 DIAMOND CENTRE CT",
            "address_2": "BUILDING 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124368",
            "telephone_number": "239-768-6396",
            "fax_number": "239-204-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS FOR QUALITY HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-17",
        "last_updated": "2023-01-25",
        "certification_date": "2022-11-17",
        "status": "A",
        "authorized_official_last_name": "GHANEM",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "239-768-6396"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "FL",
            "license": "10413",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physicians Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.