NPIMap

Organization Active NPI

Rehabilitation Consultants PA

  • Pain Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1699947465
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
OS6278 Issued in FL
Legal business name
REHABILITATION CONSULTANTS PA
Practice address
13685 Doctors Way
Ste 190
Fort Myers, FL 33912-4336
Phone
(239) 768-5454
Fax
(239) 768-5432
NPI assigned
Apr 1, 2008
Last updated
May 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Authorized official

Name
Dr. Debra K Roggow, D.O.NPI 1447245451
Title
President
Phone
(239) 768-5454

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X OS6278 FL Primary

Addresses

Primary practice location

13685 Doctors Way
Ste 190
Fort Myers, FL 33912-4336

Mailing address

PO Box 60013
Fort Myers, FL 33906-6013
Phone (239) 768-5454

National Provider Directory

National Provider Directory

Locations

13685 Doctors Way
Ste 190
Fort Myers, FL 33912
Phone (239) 768-5454

13685 Doctors Way
Ste 202
Fort Myers, FL 33912
Phone (941) 768-5454

1390 Royal Palm Square Blvd
Fort Myers, FL 33919
Phone (941) 936-1663

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1699947465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60013",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339066013",
            "telephone_number": "239-768-5454",
            "fax_number": "239-768-5432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13685 DOCTORS WAY",
            "address_2": "STE 190",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124336",
            "telephone_number": "239-768-5454",
            "fax_number": "239-768-5432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION CONSULTANTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "ROGGOW",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-768-5454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "OS6278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.