Physionetics LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT10624 Issued in FL

Legal business name

PHYSIONETICS LLC

Practice address

1575 Pine Ridge Rd Ste 15
Naples, FL 34109-2110

Phone

(239) 593-4348

Fax

(239) 593-4387

NPI assigned

Aug 16, 2010

Last updated

May 3, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Nicola Khalaf Varveris, MSPT

Title

Owner

Phone

(239) 593-4348

Specialties & licenses 1

Addresses

Other names 1

• PhysioNetics Former legal business name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 6

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.

• Vasil Dimitrov Dimitrov, PT

  • Orthopedic Physical Therapist
  • Philadelphia, PA
  • NPI 1609387737

  FL

  Medicare reassignment NPD
• Cole Leon Ryan, DPT

  • Physical Therapist
  • Naples, FL
  • NPI 1184215808
  NPD (past)
• Katherine Anne Sellaroli, PT

  • Physical Therapist
  • Lehigh Acres, FL
  • NPI 1225683337
  NPD (past)
• Megan Evans

  • Occupational Therapist
  • Lawrenceville, NJ
  • NPI 1689272163
  NPD (past)
• Tetyana Gammons, DPT

  • Physical Therapist
  • West Bloomfield, MI
  • NPI 1750885265
  NPD (past)
• Zackery Wroniuk-Evans, DPT

  • Physical Therapist
  • Swedesboro, NJ
  • NPI 1508502352
  NPD (past)

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

{
    "created_epoch": "1281916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462233600000",
    "number": "1578878450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 PINE RIDGE RD STE 15",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341092110",
            "telephone_number": "239-593-4348",
            "fax_number": "239-593-4387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 PINE RIDGE RD STE 15",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341092110",
            "telephone_number": "239-593-4348",
            "fax_number": "239-593-4387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIONETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-16",
        "last_updated": "2016-05-03",
        "status": "A",
        "authorized_official_last_name": "VARVERIS",
        "authorized_official_first_name": "NICOLA",
        "authorized_official_middle_name": "KHALAF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-593-4348",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT10624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PhysioNetics",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Physicians for Quality Healthcare, Inc.
• Physicians Hearing Institute, LLC
• Physicians Life Centers, LLC
• Physicians Regional Medical Center - Collier Blvd
• Physicians Regional Medical Center - Pine Ridge
• Physiotherapy Associates Inc (Physio-East Naples)
• Physiotherapy Associates Inc (Physio-Naples ALF)
• Physiotherapy Associates Inc (Physiotherapy Associates)
• Physiotherapy Associates, Inc. (Select Physical Therapy)
• Physiotherapy Associates, Inc. (Select Physical Therapy)

• Physical Therapy Clinic/Center in Naples, FL
• Providers in Naples, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; 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.