Sports Specialty & Rehabilitation Center Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

HCC6646 Issued in FL

Legal business name

SPORTS SPECIALTY & REHABILITATION CENTER INC

Practice address

4316 Lee Blvd
Suite 12a & 12B
Lehigh Acres, FL 33971-1735

Phone

(239) 368-7744

Fax

(239) 368-7824

NPI assigned

Apr 19, 2010

Last updated

Jan 18, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

SPORTS SPECIALTY & REHABILITATION CENTERAs reported in NPPES

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

Authorized official

Name

Mr. William Daniel Vogelbach, PT, ATCNPI 1811996812

Title

President / Ceo

Phone

(239) 573-1518

Specialties & licenses 2

Addresses

Part of

Sports Speciatly and Re

Locations

Practitioners 3

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.

• William Daniel Vogelbach, PT

  • Physical Therapist
  • Cape Coral, FL
  • NPI 1811996812
  Authorized official Same address or phone
• Margarita Harris, PT

  • Physical Therapist
  • Lehigh Acres, FL
  • NPI 1023070620
  NPD (past)
• Amanda J Strang, PT

  • Physical Therapist
  • Fort Worth, TX
  • NPI 1689604258
  NPD (past)

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

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453075200000",
    "number": "1659697480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2328 HANCOCK BRIDGE PKWY",
            "address_2": "SUITE 103",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339901459",
            "telephone_number": "239-573-1518",
            "fax_number": "239-573-7356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4316 LEE BLVD",
            "address_2": "SUITE 12A & 12B",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339711735",
            "telephone_number": "239-368-7744",
            "fax_number": "239-368-7824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS SPECIALTY & REHABILITATION CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPORTS SPECIALTY & REHABILITATION CENTER",
        "enumeration_date": "2010-04-19",
        "last_updated": "2016-01-18",
        "status": "A",
        "authorized_official_last_name": "VOGELBACH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "239-573-1518",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, ATC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "HCC6646",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "HCC6646",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Lehigh Acres, FL
• Providers in Lehigh Acres, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.