NPIMap

Organization Active NPI

Solaris Rehab, LLC

  • Rehabilitation Clinic/Center
  • Bonita Springs, FL
National Provider Identifier
1740647429
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
SOLARIS REHAB, LLC
Practice address
11400 Longfellow LN
Bonita Springs, FL 34135-5963
Phone
(239) 488-1583
NPI assigned
Jan 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Authorized official

Name
Patti Carlson
Title
President
Phone
(239) 206-8187

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

11400 Longfellow LN
Bonita Springs, FL 34135-5963

Mailing address

PO Box 2386
Bonita Springs, FL 34133-2386
Phone (239) 488-1583

Other identifiers 1

IdentifierTypeStateIssuer
686902OtherFLMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130910000009 FL Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 1355595893 11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Naples, FL; Fort Myers, FL; Bonita Springs, FL

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Solaris Rehab LLC21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771459200000",
    "number": "1740647429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2386",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341332386",
            "telephone_number": "239-488-1583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11400 LONGFELLOW LN",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341355963",
            "telephone_number": "239-488-1583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLARIS REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-26",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "PATTI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-206-8187"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "686902",
            "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 Feb 19, 2026; 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.