Individual provider Active NPI

Dawid Krzysztof Golonka, PT

  • Physical Therapist
  • Naples, FL
National Provider Identifier
1720591068
Registry record updated Nov 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
32117 Issued in FL
Practice address
1865 Veterans Park Dr Ste 101
Naples, FL 34109-0447
Phone
(239) 254-7778
NPI assigned
Nov 8, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 32117 FL Primary

Addresses

Primary practice location

1865 Veterans Park Dr Ste 101
Naples, FL 34109-0447

Mailing address

3261 Missouri Ter
North Port, FL 34291-6242
Phone (847) 322-1387

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200731000765 FL Practitioner - Physical Therapist in Private Practice 7214352764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Rehab Associates PAGroup PAC ID 2668407131, 18 clinicians

Practice addresses (Care Compare)

1865 Veterans Park Dr
Suite 101
Naples, FL 34109-0447
Phone (239) 254-7778

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32117FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Rehab Associates PA CurrentSince Jul 22, 2020 Accepting new patients

Locations

7117 Congdon Rd
Apt 200
Fort Myers, FL 33908
Phone (239) 936-5400

1865 Veterans Park Dr
Ste 101
Naples, FL 34109
Phone (239) 254-7778

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510099200000",
    "number": "1720591068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3261 MISSOURI TER",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342916242",
            "telephone_number": "847-322-1387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 VETERANS PARK DR STE 101",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341090447",
            "telephone_number": "239-254-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLONKA",
        "first_name": "DAWID",
        "middle_name": "KRZYSZTOF",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-08",
        "last_updated": "2017-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "32117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.