NPIMap

Organization Active NPI

North Naples Physical Therapy Inc

  • Physical Therapist
  • Naples, FL
National Provider Identifier
1568520534
Registry record updated Nov 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT18720 Issued in FL
Legal business name
NORTH NAPLES PHYSICAL THERAPY INC
Practice address
9170 Galleria CT
#200
Naples, FL 34109-4399
Phone
(239) 594-5412
Fax
(239) 594-2853
NPI assigned
Dec 4, 2006
Last updated
Nov 1, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2012

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

Authorized official

Name
Mr. John M Pierce, P.T.NPI 1326233248
Title
Owner Director
Phone
(239) 594-5412

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X PT18720 FL Primary

Addresses

Primary practice location

9170 Galleria CT
#200
Naples, FL 34109-4399

Mailing address

9170 Galleria CT
#200
Naples, FL 34109-4399
Phone (239) 594-5412

Other identifiers 1

IdentifierTypeStateIssuer
Y912FOtherFLBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041201000513 FL Part B Supplier - Clinic/Group Practice 5294790242 Receives reassigned benefits from 4 practitioners
Practice locations: Naples, FL

National Provider Directory

National Provider Directory

Locations

9170 Galleria Ct
Ste 200
Naples, FL 34109
Phone (239) 594-5412

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351728000000",
    "number": "1568520534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9170 GALLERIA CT",
            "address_2": "#200",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341094399",
            "telephone_number": "239-594-5412",
            "fax_number": "239-594-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9170 GALLERIA CT",
            "address_2": "#200",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341094399",
            "telephone_number": "239-594-5412",
            "fax_number": "239-594-2853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH NAPLES PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2012-11-01",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER DIRECTOR",
        "authorized_official_telephone_number": "239-594-5412",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT18720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y912F",
            "state": "FL"
        }
    ],
    "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 Nov 1, 2012; 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.