NPIMap

Organization Active NPI

A Step Ahead Physical Therapy P.a.

  • Physical Therapist
  • Marco Island, FL
National Provider Identifier
1720163306
Registry record updated Jun 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT21538 Issued in FL
Legal business name
A STEP AHEAD PHYSICAL THERAPY P.A.
Practice address
601 Elkcam Cir East
Suite A2-5
Marco Island, FL 34145
Phone
(239) 642-3948
Fax
(239) 642-4243
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2010

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

Authorized official

Name
Mr. Christopher J Bores, MPTNPI 1104903384
Title
Owner/President
Phone
(239) 642-3948

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X PT0014520 FL
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X PT21538 FL Primary

Addresses

Primary practice location

601 Elkcam Cir East
Suite A2-5
Marco Island, FL 34145

Mailing address

601 Elkcam Cir East
Suite A2
Marco Island, FL 34145
Phone (239) 642-3948

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070316000246 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6800999533 Receives reassigned benefits from 2 practitioners
Practice locations: Marco Island, FL

National Provider Directory

National Provider Directory

Locations

601 E Elkcam Cir
Ste A2
Marco Island, FL 34145
Phone (239) 642-3948

291 S Collier Blvd
Unit 105
Marco Island, FL 34145
Phone (239) 642-3948

601 E Elkcam Cir
Ste A25
Marco Island, FL 34145
Phone (239) 642-3948

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276819200000",
    "number": "1720163306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELKCAM CIR EAST",
            "address_2": "SUITE A2",
            "city": "MARCO ISLAND",
            "state": "FL",
            "postal_code": "34145",
            "telephone_number": "239-642-3948",
            "fax_number": "239-642-4243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 ELKCAM CIR EAST",
            "address_2": "SUITE A2-5",
            "city": "MARCO ISLAND",
            "state": "FL",
            "postal_code": "34145",
            "telephone_number": "239-642-3948",
            "fax_number": "239-642-4243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A STEP AHEAD PHYSICAL THERAPY P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2010-06-18",
        "status": "A",
        "authorized_official_last_name": "BORES",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "239-642-3948",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT0014520",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT21538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marco Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2010; 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.