Active NPI
Superior Care Rehab LLC
- Physical Therapist
- Naples, FL
National Provider Identifier
1649728064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 14774
- Legal business name
- SUPERIOR CARE REHAB LLC
- Practice address
- 400 8TH St N
Naples, FL 34102-5519 - Phone
- (239) 529-3733
- NPI assigned
- Sep 14, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dianalyn Escober De Leon, PT
- Title
- Owner
- Phone
- (239) 572-4779
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 14774 | FL | Primary |
| Physical Therapy Assistant | 225200000X | 24303 | FL |
Addresses
Primary practice location
400 8TH St N
Naples, FL 34102-5519
Mailing address
1065 Diana Ave
Naples, FL 34103-4845
Phone (239) 572-4779
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144536756 | Other | FL | INDIVIDUAL NPI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473811200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1488240000000",
"number": "1649728064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1065 DIANA AVE",
"city": "NAPLES",
"state": "FL",
"postal_code": "341034845",
"telephone_number": "239-572-4779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 8TH ST N",
"city": "NAPLES",
"state": "FL",
"postal_code": "341025519",
"telephone_number": "239-529-3733"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPERIOR CARE REHAB LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-14",
"last_updated": "2017-02-28",
"status": "A",
"authorized_official_last_name": "DE LEON",
"authorized_official_first_name": "DIANALYN",
"authorized_official_middle_name": "ESCOBER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "239-572-4779",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "FL",
"license": "14774",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "24303",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1144536756",
"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 Feb 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.