Individual provider Active NPI

Juan Carlos Quiroga, PT

  • Physical Therapist
  • Naples, FL
National Provider Identifier
1568699973
Registry record updated Jun 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
24636 Issued in FL
Practice address
1250 Pine Ridge Rd
Suite # 3
Naples, FL 34108-8913
Phone
(239) 261-2663
Fax
(614) 386-0604
NPI assigned
Jun 12, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 24636 FL Primary

Addresses

Primary practice location

1250 Pine Ridge Rd
Suite # 3
Naples, FL 34108-8913

Mailing address

651 Bracket St
Fort Mill, SC 29708-6459
Phone (803) 746-7186

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100205000724 FL Practitioner - Physical Therapist in Private Practice 4981632734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excel Physical Therapy of Naples, Inc.Group PAC ID 9739222563, 2 clinicians

Practice addresses (Care Compare)

13020 Livingston Rd
Suite 9
Naples, FL 34105-5022
Phone (239) 213-4295

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24636FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Physical Therapy of Naples, Inc. Current Accepting new patients
Excel Physical Therapy of Naples, Inc. Physical Therapist CurrentSince Aug 6, 2009 Accepting new patients
Joint Replacement Institute LLC Past Accepting new patients
Albert C. Lee, M.D., P.C. Past Accepting new patients

Locations

1250 Pine Ridge Rd
Ste 3
Naples, FL 34108
Phone (239) 261-2663

1250 Pine Ridge Rd
Ste 203
Naples, FL 34108
Phone (239) 213-4295

13020 Livingston Rd
Ste 9
Naples, FL 34105
Phone (239) 213-4295

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244764800000",
    "number": "1568699973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 BRACKET ST",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086459",
            "telephone_number": "803-746-7186",
            "fax_number": "614-386-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 PINE RIDGE RD",
            "address_2": "SUITE # 3",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341088913",
            "telephone_number": "239-261-2663",
            "fax_number": "614-386-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIROGA",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-12",
        "last_updated": "2009-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "24636",
            "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 Jun 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.