Aktive Motion Physical Therapy Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

AKTIVE MOTION PHYSICAL THERAPY INC

Doing business as

Aktive Motion Physical Therapy and Wellness

Practice address

4766 Golden Gate Pkwy Ste 4
Naples, FL 34116-6935

Phone

(239) 280-0368

Fax

(239) 307-4116

NPI assigned

Mar 28, 2018

Last updated

Aug 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jean Daniel Dornevil, PT., DPTNPI 1902271612

Title

Physical Therapist/Owner

Phone

(239) 672-0174

Specialties & licenses 8

Addresses

Other names 1

• Aktive Motion Physical Therapy and Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19147/brand/1/csg/1/fhir/r4

Practitioners 1

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.

• Jean Daniel Dornevil, DPT

  • Physical Therapist
  • Naples, FL
  • NPI 1902271612
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1710482948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 5TH ST SW",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341172113",
            "telephone_number": "239-672-0174",
            "fax_number": "239-307-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4766 GOLDEN GATE PKWY STE 4",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341166935",
            "telephone_number": "239-280-0368",
            "fax_number": "239-307-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AKTIVE MOTION PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-28",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "DORNEVIL",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "239-672-0174",
        "authorized_official_credential": "PT., DPT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": "PT30933",
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aktive Motion Physical Therapy and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew James Akers, DPT
• Sergey Pavlovich Akimov, M.D.
• E William Akins III, M.D.
• Sebiha Akkaya, A.P
• Jason Ashkan Akrami, M.D.
• Ilia Al Djindil, D.D.S.
• Sadiq Al Nakeeb, MD
• Magid Azam Al-Kimawi, M.D.
• Daniela Aladro
• Frankie Alameda

• Physical Therapy Clinic/Center in Naples, FL
• Providers in Naples, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.