Active NPI
Stijn Dhespeel, DPT, ATC
- Physical Therapist
- Bonita Springs, FL
National Provider Identifier
1730429291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 26682
- Practice address
- 6017 Cypress LN
Bonita Springs, FL 34134-3836 - Phone
- (941) 586-1685
- NPI assigned
- Feb 21, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 26682 | FL | Primary |
Addresses
Primary practice location
6017 Cypress LN
Bonita Springs, FL 34134-3836
Mailing address
6017 Cypress LN
Bonita Springs, FL 34134-3836
Phone (941) 586-1685
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 26682 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Passmore Inc | Physical Therapist | Past | Accepting new patients |
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": "1361404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361404800000",
"number": "1730429291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6017 CYPRESS LN",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "341343836",
"telephone_number": "941-586-1685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6017 CYPRESS LN",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "341343836",
"telephone_number": "941-586-1685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DHESPEEL",
"first_name": "STIJN",
"credential": "DPT, ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-02-21",
"last_updated": "2013-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT 26682",
"primary": true
}
],
"identifiers": [],
"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 Feb 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.