NPIMap

Organization Active NPI

Sypert Institute PA

  • Physical Medicine & Rehabilitation Physician
  • Bonita Springs, FL
National Provider Identifier
1699960435
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
SYPERT INSTITUTE PA
Practice address
26800 Tamiami Trail South
Suite 340
Bonita Springs, FL 34134-4349
Phone
(239) 498-1204
Fax
(239) 498-1350
NPI assigned
Sep 13, 2007
Reactivated
Sep 28, 2011
Last updated
Sep 28, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
SYPERT INSTITUTE PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

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

Authorized official

Name
Mr. Robert Ogrady
Title
Vice President
Phone
(239) 432-0774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

26800 Tamiami Trail South
Suite 340
Bonita Springs, FL 34134-4349

Mailing address

632 Del Prado Blvd N
Cape Coral, FL 33909-2253
Phone (239) 772-5577

Other identifiers 1

IdentifierTypeStateIssuer
379209900MedicaidFL

National Provider Directory

National Provider Directory
Part of
Sypert Institute

Locations

26800 Tamiami Trl
Ste 200
Bonita Springs, FL 34134
Phone (239) 498-1204

632 Del Prado Blvd N
Cape Coral, FL 33909
Phone (239) 343-3800

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317168000000",
    "number": "1699960435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 DEL PRADO BLVD N",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339092253",
            "telephone_number": "239-772-5577",
            "fax_number": "239-772-9961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26800 TAMIAMI TRAIL SOUTH",
            "address_2": "SUITE 340",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341344349",
            "telephone_number": "239-498-1204",
            "fax_number": "239-498-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYPERT INSTITUTE PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SYPERT INSTITUTE PA",
        "enumeration_date": "2007-09-13",
        "last_updated": "2011-09-28",
        "deactivation_date": "2009-05-19",
        "reactivation_date": "2011-09-28",
        "status": "A",
        "authorized_official_last_name": "OGRADY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "239-432-0774",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379209900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.