Individual provider Active NPI

Nathaniel T Fiedler, DPT, CERT MDT

  • Physical Therapist
  • Naples, FL
National Provider Identifier
1629331244
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT37390 Issued in FL
Practice address
12975 Collier Blvd Ste 102a
Naples, FL 34116-4004
Phone
(518) 489-2524
Fax
(518) 489-3167
NPI assigned
Jun 19, 2012
Last updated
Oct 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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 PT37390 FL Primary

Addresses

Primary practice location

12975 Collier Blvd Ste 102a
Naples, FL 34116-4004

Mailing address

12975 Collier Blvd Ste 102a
Naples, FL 34116-4004
Phone (239) 300-4779

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150720000034 NY Practitioner - Physical Therapist in Private Practice 5294989539 Reassigns benefits to 2 organizations
I20250423002603 FL Practitioner - Physical Therapist in Private Practice 5294989539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cora Health Services IncGroup PAC ID 1759290992, 1,125 clinicians

Practice addresses (Care Compare)

20009 Verdana Village Blvd
Unit 103
Estero, FL 33928-9826
Phone (419) 221-6717

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cora Health Services, Inc CurrentSince Mar 17, 2025 Accepting new patients
Orthopedicsny, LLP CurrentSince Oct 1, 2018 Accepting new patients
Orthopedicsny, LLP CurrentSince Oct 1, 2018 Accepting new patients
Cora Health Services Inc Current Accepting new patients
John W Repsher PT, LLC Physical Therapist CurrentSince Jul 6, 2015 Accepting new patients
Cora Health Services, Inc CurrentSince Mar 17, 2025 Accepting new patients

Locations

20009 Verdana Village Blvd
Unit 103
Estero, FL 33928

121 Everett Rd
Ste 200
Albany, NY 12205
Phone (518) 489-2524

2 Computer Dr W
Ste 200
Albany, NY 12205
Phone (518) 489-2524

3 Atrium Dr
Albany, NY 12205
Phone (518) 435-1234

121 Everett Rd
Colonie, NY 12205

3745 Shawnee Rd
Ste 103
Lima, OH 45806

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1629331244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12975 COLLIER BLVD STE 102A",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341164004",
            "telephone_number": "239-300-4779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12975 COLLIER BLVD STE 102A",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341164004",
            "telephone_number": "518-489-2524",
            "fax_number": "518-489-3167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIEDLER",
        "first_name": "NATHANIEL",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "DPT, CERT MDT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-19",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT37390",
            "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 Oct 16, 2024; 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.