Individual provider Active NPI

Kourtney Donagan, DPT

  • Physical Therapist
  • Naples, FL
National Provider Identifier
1629478334
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT29547 Issued in FL
Practice address
12250 Tamiami TRL E Ste 200
Naples, FL 34113-8108
Phone
(239) 417-0027
NPI assigned
Aug 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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 PT29547 FL Primary

Addresses

Primary practice location

12250 Tamiami TRL E Ste 200
Naples, FL 34113-8108

Mailing address

25241 Elementary Way
Suite 200
Bonita Springs, FL 34135-7883
Phone (239) 947-4184

Other names 1

  • Kourtney Hartmann Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141010001180 FL Practitioner - Physical Therapist in Private Practice 5991925174 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.26 of 100Reported as group
Quality
86.58
Improvement activities
40
Cost
68.79

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fyzbiz, LLC Physical Therapist CurrentSince Sep 21, 2015 Accepting new patients
Florida Luna Care Physical Therapy LLC Physical Therapist CurrentSince Mar 19, 2024 Accepting new patients
Mobile Rehab & Lymphatics LLC Physical Therapist CurrentSince Jul 16, 2025 Accepting new patients
Concepts in Rehab Inc PastSince Sep 1, 2014 Accepting new patients
Pelican Sports and Rehabilitation, Inc Physical Therapist PastSince Jun 15, 2016 Accepting new patients

Locations

25241 Elementary Way
Ste 200
Bonita Springs, FL 34135
Phone (239) 947-4184

18070 S Tamiami Trl
Ste 15
Fort Myers, FL 33908
Phone (239) 344-4448

5011 Gate Pkwy
Ste 100
Jacksonville, FL 32256
Phone (904) 326-3627

1715 Heritage Trl
Ste 203
Naples, FL 34112
Phone (239) 212-1500

12250 Tamiami Trl E
Ste 102
Naples, FL 34113
Phone (239) 417-0027

18900 N Tamiami Trl
Ste A5
North Ft Myers, FL 33903
Phone (239) 451-4922

Networks

  • Freedom Health HMO Network

Organizations & group practices 5

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": "1409270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1629478334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25241 ELEMENTARY WAY",
            "address_2": "SUITE 200",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341357883",
            "telephone_number": "239-947-4184",
            "fax_number": "239-947-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12250 TAMIAMI TRL E STE 200",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341138108",
            "telephone_number": "239-417-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONAGAN",
        "first_name": "KOURTNEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-29",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT29547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KOURTNEY",
            "last_name": "HARTMANN",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Aug 9, 2022; 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.